Dr. William Gardner Moll
Oral & Maxillofacial Surgeon
601 W Us Highway 30
Schererville
, Indiana 46375-2656
Dr. William Gardner Moll
Oral & Maxillofacial Surgeon
601 W Us Highway 30
Schererville
, Indiana 46375-2656
(219) 322-0501
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. William Gardner Moll
- 601 W Us Highway 30
- Schererville, IN
- Zip : 46375-2656
- Phone : (219) 322-0501
Second Address
- Dr. William Gardner Moll
- 601 W Us Highway 30
- Schererville, IN
- Zip : 46375-2656
- Phone : (219) 322-0501
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 12012169A | IN |
National Provider Identifier
| NPI | 1558789891 |
|---|---|
| Provider Name | Dr. William Gardner Moll |
| First Address | Schererville, IN 46375-2656 |
| Second Address | Schererville, IN 46375-2656 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/04/2014 |
| Last Update Date | 26/11/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.