Organization
ELEMENTAL DENTAL - SONYA R. MOESLE DDS, LLC
Active
Other names
New Leaf Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SONYA RENEE MOESLE DDS (PRINCIPAL)
(740) 964-3500
Entity
Organization
Contact information
Practice address
686 CORYLUS DR, PATASKALA, OH 43062-7628
(740) 964-3500
(740) 964-3502
Mailing address
686 CORYLUS DR, PATASKALA, OH 43062-7628
(740) 964-3500
(740) 964-3502
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689975005
INDIVIDUAL NPI
—
01
—
30.020362
OHIO DENTAL LICENSE NUMBER
OH
Enumeration date
05/09/2023
Last updated
05/09/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us