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JENNIFER MOELLER DMD
NPI 1336672831
Dentist - Prosthodontics in Chicago, IL

Active since April 11, 2017
111 E WACKER DR STE 23, CHICAGO, IL 60601(312) 938-3999 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2021, Jun 30, 2021, Dec 7, 2020 and 3 more (6 updates tracked since 2017).

About Jennifer Moeller Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER MOELLER DMD (NPI 1336672831) is an individual prosthodontics provider in Chicago, Illinois, licensed in Illinois (021.003106) and active in the NPI registry since April 2017. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336672831
Entity TypeIndividualFemale
Primary Taxonomy1223P0700X
Provider Legal NameJENNIFER MOELLERCredential: DMD
Location Address111 E WACKER DR STE 23Chicago, IL 60601-3713
Mailing Address2335 N Lincoln Ave Apt 1010Chicago, IL 60614-4796
Phone(312) 938-3999
Sole ProprietorNo
Enumeration DateApril 11, 2017
Last NPPES UpdateJuly 19, 20216 updates tracked since enumeration
NPPES CertifiedJuly 19, 2021
✔ NPI 1336672831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
Licenses✔ Licensed in IL · 021.003106✔ Licensed in MI · 2901600506
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Also ListedDentistTaxonomy 122300000X · License 019.033187 (IL)
111 E WACKER DR STE 23, Chicago, IL 60601
Open in Google Maps ↗

Secondary Practice Locations 2

Location 114755 Northline RdSouthgate, MI 48195-2407 · Phone (734) 281-0880
Location 24905 Old Orchard Ctr Ste 728Skokie, IL 60077-4734 · Phone (847) 676-1432

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENTAL PROFESSIONALS OF OLD ORCHARD LTD
Durable Medical Equipment & Medical Supplies (Customized Equipment)
111 E WACKER DR STE 23
CHICAGO, IL 60601
Cook County (312) 938-3999

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Moeller's NPI number?

The NPI number for Jennifer Moeller is 1336672831. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Where is Jennifer Moeller located?

Jennifer Moeller practices at 111 E Wacker Dr Ste 23, Chicago, IL 60601. The listed phone number is (312) 938-3999.

What is Jennifer Moeller's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Jennifer Moeller was last updated on July 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.