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MCKENNA MARIA MORELAND
NPI 1619723608
Dentist in Suamico, WI

Active since April 29, 2024
1272 LONGTAIL BEACH RD, SUAMICO, WI 54173(920) 569-9313 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2024, Jul 15, 2024, Apr 29, 2024 (3 updates tracked since 2024).

About Mckenna Maria Moreland NPPES

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

MCKENNA MARIA MORELAND (NPI 1619723608) is an individual dentist in Suamico, Wisconsin, licensed in Wisconsin (6001565) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1619723608
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMCKENNA MARIA MORELAND
Location Address1272 LONGTAIL BEACH RDSuamico, WI 54173-8037
Mailing Address1272 Longtail Beach RdSuamico, WI 54173-8037 · (920) 569-9313
Phone(920) 569-9313
Sole ProprietorNo
Enumeration DateApril 29, 2024
Last NPPES UpdateJuly 29, 20243 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1619723608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WI · 6001565
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1272 LONGTAIL BEACH RD, Suamico, WI 54173
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Wisconsin, Inc..Insurance ›

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 Mckenna Moreland's NPI number?

The NPI number for Mckenna Moreland is 1619723608. It was assigned to this individual provider in the NPPES registry on April 29, 2024.

Where is Mckenna Moreland located?

Mckenna Moreland practices at 1272 Longtail Beach Rd, Suamico, WI 54173. The listed phone number is (920) 569-9313.

What is Mckenna Moreland's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Mckenna Moreland accept?

Health plans from Delta Dental of Wisconsin, Inc. list Mckenna Moreland as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mckenna Moreland was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.