DR. TEVIN MICHAEL MORENO DDS
NPI 1467146555
Dentist - General Practice in Thief River Falls, MN

Q: What is Tevin Moreno's NPI number?

The NPI number for Tevin Moreno is 1467146555. It was assigned to this individual provider in the NPPES registry on June 5, 2023. The provider is also known as Tevin Michael Douglas Dds.

Q: What is Tevin Moreno's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Tevin Moreno was last updated on October 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 05, 2023

318 LABREE AVE N, THIEF RIVER FALLS, MN 56701(218) 653-1165 Get Directions Write a Review

NPPES record last updated: October 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 7, 2023, Sep 1, 2023, Aug 16, 2023 and 1 more (4 updates tracked since 2023).

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About Dr. Tevin Michael Moreno Dds NPPES

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

DR. TEVIN MICHAEL MORENO DDS (NPI 1467146555) is an individual general practice provider in Thief River Falls, Minnesota, licensed in Minnesota (D14895) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1467146555

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. TEVIN MICHAEL MORENOCredential: DDS

Location Address318 LABREE AVE NThief River Falls, MN 56701-2037

Mailing Address1114 Labree Ave NThief River Falls, MN 56701-1222 · (218) 686-9361

Phone(218) 653-1165

Sole ProprietorNo

Enumeration DateJune 5, 2023

Last NPPES UpdateOctober 7, 20234 updates tracked since enumeration

NPPES CertifiedOctober 7, 2023

✔ NPI 1467146555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MN · D14895

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

318 LABREE AVE N, Thief River Falls, MN 56701

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Other Names 1

Former Name (1)Tevin Michael Douglas Dds

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 Tevin Moreno's NPI number?

The NPI number for Tevin Moreno is 1467146555. It was assigned to this individual provider in the NPPES registry on June 5, 2023. The provider is also known as Tevin Michael Douglas Dds.

Where is Tevin Moreno located?

Tevin Moreno practices at 318 Labree Ave N, Thief River Falls, MN 56701. The listed phone number is (218) 653-1165.

What is Tevin Moreno's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Tevin Moreno was last updated on October 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.