Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Steven Moeller, DDS

Individual provider Dentist · NPI 1083895510

Dr. Mark Steven Moeller, DDS is a Dentist in LA Crosse, Wisconsin. Qualified in 2001, 25 years ago. Licensed in Iowa, Minnesota and Wisconsin.

Years since qualifying
25
Licensed in
IA, MN, WI
In the registry since
2007
Specialties on file
4
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1836 S Ave
LA Crosse, WI 54601-5429
Phone: (608) 782-7300
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 1001156 (WI)
Dentist Taxonomy 122300000X · Licence 09067 (IA)
Dentist Taxonomy 122300000X · Licence 1001156 (WI)
Pediatric Dentistry Taxonomy 1223P0221X · Licence S25 (MN)

Record details

NPI number1083895510
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 27, 2007
Last updated in NPPESDecember 19, 2018
Mailing address1836 South Ave, La Crosse, WI 54601-5429

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in LA Crosse