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Sergio Moeller Zevallos, DDS, MS — NPI 1790970663, Ann Arbor, MI | NPI Central

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NPI 1790970663

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Sergio Moeller Zevallos, DDS, MS

NPI 1790970663 · Prosthodontics · Ann Arbor, MI

Provider details

NPI number: 1790970663
Entity type: Individual
Primary specialty: ProsthodonticsDental Providers
Credential: DDS, MS
Sex: Male
Sole proprietor: Yes
License: 2901018235 (MI)

Specialties & taxonomies

ProsthodonticsPrimary1223P0700XLicense 2901018235 (MI)
Dental Providers
Dentist122300000XLicense 2901018235 (MI)
Dental Providers
General Practice Dentistry1223G0001XLicense 2901018235 (MI)
Dental Providers

Practice location

2509 S State St

Ann Arbor, MI 48104-6145

Phone: (734) 662-7874

Fax: (734) 662-1518

Approximate (ZIP-level) locationGet directions

More MI providers

Mailing address

2509 S State St

Ann Arbor, MI 48104-6145

Registry dates

Enumerated: 2007-09-13
Last updated: 2016-12-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.