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Justine Sherylyn Moe

Dentist Surgeon Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon

1500 E Medical Center Dr
Ann Arbor , Michigan 48109-5000

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Justine Sherylyn Moe

Dentist Surgeon Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon

1500 E Medical Center Dr
Ann Arbor , Michigan 48109-5000

(734) 647-5299

Write a Review Save Call

Justine Sherylyn Moe

Dentist Surgeon Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon

1500 E Medical Center Dr
Ann Arbor , Michigan 48109-5000

(734) 647-5299 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Dentist
  • Oral and Maxillofacial Surgeon
  • Oral & Maxillofacial Surgeon
  • Surgeon

Languages spoken

  • English

Location

1500 E Medical Center Dr Ann Arbor , Michigan 48109-5000

First Address

  • Justine Sherylyn Moe
  • 3621 S State St
  • Ann Arbor, MI
  • Zip : 48108-1633
  • Phone : (734) 647-5299

Second Address

  • Justine Sherylyn Moe
  • 1500 E Medical Center Dr
  • Ann Arbor, MI
  • Zip : 48109-5000
  • Phone : (734) 936-4000

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FAQs


Where did Justine Sherylyn Moe attend graduate school?

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Where did Justine Sherylyn Moe do her residency?

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Where did Justine Sherylyn Moe do her fellowship?

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Is Justine Sherylyn Moe board certified?

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What type of doctor is Justine Sherylyn Moe

Oral & Maxillofacial Surgeon

In what state does Justine Sherylyn Moe practice in?

Michigan

Where is Justine Sherylyn Moe ’s practice located?

1500 E Medical Center Dr , Ann Arbor, Michigan, 48109-5000

What is Justine Sherylyn Moe ’s gender?

Female

Is Justine Sherylyn Moe a sole practitioner?

No

Is Justine Sherylyn Moe accepting new patients?

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What languages does Justine Sherylyn Moe speak?

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Does Justine Sherylyn Moe accept insurance?

Yes, Justine Sherylyn Moe accepts insurance

Does Justine Sherylyn Moe offers telemedicine?

Justine Sherylyn Moe has not indicated if she offers telemedicine

What is Justine Sherylyn Moe ’s professional license number?

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What is Justine Sherylyn Moe ’s NPI number?

1104143833

Does Justine Sherylyn Moe have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 122300000X Dentist 4301111526 MI
N 1223S0112X Oral and Maxillofacial Surgeon 4301111526 MI
Y 204E00000X Oral & Maxillofacial Surgeon 4301111526 MI
N 208200000X Surgeon 4301111526 MI
N 208600000X Surgeon 4301111526 MI

National Provider Identifier

NPI 1104143833
Provider Name Justine Sherylyn Moe
First Address Ann Arbor, MI 48108-1633
Second Address Ann Arbor, MI 48109-5000
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 20/04/2010
Last Update Date 19/11/2020

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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