DR. GARY ALAN MOBERG D.D.S.
NPI 1558436352
Dentist - General Practice in Houghton, MI

Q: What is Gary Moberg's NPI number?

The NPI number for Gary Moberg is 1558436352. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Q: What is Gary Moberg'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 Gary Moberg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 November 21, 2006

502 SHELDEN AVE, HOUGHTON, MI 49931(906) 482-0808 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Gary Alan Moberg D.d.s. NPPES

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

DR. GARY ALAN MOBERG D.D.S. (NPI 1558436352) is an individual general practice provider in Houghton, Michigan, licensed in Michigan (1133107) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1558436352

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. GARY ALAN MOBERGCredential: D.D.S.

Location Address502 SHELDEN AVEHoughton, MI 49931-2142

Mailing Address502 Shelden AveHoughton, MI 49931-2142 · (906) 482-0808

Phone(906) 482-0808

Sole ProprietorYes

Enumeration DateNovember 21, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1558436352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 1133107

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.

502 SHELDEN AVE, Houghton, MI 49931

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Other Identifiers 1

Medicaid4041173MI

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 Gary Moberg's NPI number?

The NPI number for Gary Moberg is 1558436352. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Gary Moberg located?

Gary Moberg practices at 502 Shelden Ave, Houghton, MI 49931. The listed phone number is (906) 482-0808.

What is Gary Moberg'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 Gary Moberg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.