Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Sergio Mauricio Moeller Zevallos, DDS, MS

Individual provider Dentist · NPI 1790970663

Dr. Sergio Mauricio Moeller Zevallos, DDS, MS is a Dentist in Ann Arbor, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2007
Specialties on file
3
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.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

2509 S State St
Ann Arbor, MI 48104-6145
Phone: (734) 662-7874
Fax: (734) 662-1518
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 2901018235 (MI)
Dentist Taxonomy 122300000X · Licence 2901018235 (MI)
General Practice Dentistry Taxonomy 1223G0001X · Licence 2901018235 (MI)

Record details

NPI number1790970663
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MS
Sole proprietorYes
NPI enumeratedSeptember 13, 2007
Last updated in NPPESDecember 1, 2016

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