Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932194099 Individual Practitioner Male Practitioner

Dr. Jeffrey Allen Moeller , DDS

Dentist • Mexico, MO

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Moeller, DDS is a registered healthcare professional specializing in Dentist in Mexico, MO. Practice services are available at 12389 AUDRAIN ROAD 9931 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12389 Audrain Road 9931

Mexico, MO 652656260

Telephone 7192514947

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Mexico, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
8 Specialists

Practicing in Mexico, MO (1740 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-02-21
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MN D11669

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1932194099 (MO)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location February 21, 2020

Registered at 12389 AUDRAIN ROAD 9931, MEXICO, MO 652656260 (Tel: 7192514947)

📍
Updated Business Mailing Address February 21, 2020

Registered at 12389 AUDRAIN ROAD 9931, MEXICO, MO 652656260 (Tel: 7192514947)

NPI Profile Active September 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 26, 2017

Registered at 340 KELLEY PKWY, MEXICO, MO 652653811 (Tel: 5735821234)

📍
Updated Business Mailing Address September 26, 2017

Registered at 340 KELLEY PKWY, MEXICO, MO 652653811 (Tel: (573) 582-1234)

👤
Provider Name / Credentials Updated September 26, 2017

Recorded as JEFFREY MOELLER, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2017

Dentist (License #D11669 in MN)

NPI Profile Active August 17, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 17, 2016

Registered at 340 KELLEY PKWY, MEXICO, MO 652653811 (Tel: 5735821234)

📍
Updated Business Mailing Address August 17, 2016

Registered at 340 KELLEY PKWY, MEXICO, MO 652653811 (Tel: 5735821234)

👤
Provider Name / Credentials Updated August 17, 2016

Recorded as JEFFREY MOELLER, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2016

Dentist (License #D11669 in MN)

🟢
Initial NPI Registration & Enumeration September 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932194099
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2005
Last Update: February 21, 2020
Sole Proprietor: No

Mailing Address

12389 Audrain Road 9931

Mexico, MO 652656260

Phone: 7192514947

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.