Individual
DR. DONALD RICHARD MOELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
2300 MANCHESTER EXPY, BUILDING H, SUITE 203, COLUMBUS, GA 31904-6802
(706) 323-1852
(706) 323-8701
Mailing address
2300 MANCHESTER EXPY, BUILDING H, SUITE 203, COLUMBUS, GA 31904-6802
(706) 323-1852
(706) 323-8701
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401006310
VA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
042896
GA
Other
Enumeration date
09/21/2006
Last updated
09/11/2025
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