Michael Moon

General Practice Dentistry · Cumming, GA

Individual Active NPI

NPI number 1093495244

Practice location

1595 Peachtree Pkwy Ste 207
Cumming, GA 30041-9583
Phone
(177) 088-8828

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NPI record

NPI
1093495244
Entity type
Individual (Type 1)
Enumeration date
July 21, 2023
Last updated
July 21, 2023
Certified
July 21, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN123174 GA

Mailing address

9771 Talisman Dr
Alpharetta, GA 30022-7163

About Michael Moon

Michael Moon is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1595 Peachtree Pkwy Ste 207, Cumming, GA 30041-9583. The NPI number 1093495244 was assigned on July 21, 2023 and the record was last updated on July 21, 2023.

Michael Moon lists a license in the registry: #DN123174 (GA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Moon?

The NPI number is 1093495244.

What is the phone number of Michael Moon?

The phone number listed for the practice location is (177) 088-8828.

Where is Michael Moon located?

1595 Peachtree Pkwy Ste 207, Cumming, GA 30041-9583.

What is the taxonomy code for Michael Moon?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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