Sally Jo Moon, DDS
Dentist · Parrish, FL
Practice location
11225 Us Highway 301 NParrish, FL 34219-8675
- Phone
- (774) 246-9347
NPI record
- NPI
- 1104714757
- Entity type
- Individual (Type 1)
- Enumeration date
- June 24, 2025
- Last updated
- June 24, 2025
- Certified
- June 24, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
DN30240 | FL |
Mailing address
212 Snyder AveAnn Arbor, MI 48103-5563
- Phone
- (616) 322-5587
About Dr. Moon
Sally Jo Moon, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 11225 Us Highway 301 N, Parrish, FL 34219-8675. The NPI number 1104714757 was assigned on June 24, 2025 and the record was last updated on June 24, 2025.
Dr. Moon lists a license in the registry: #DN30240 (FL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Sally Jo Moon, DDS?
The NPI number is 1104714757.
What is the phone number of Dr. Moon?
The phone number listed for the practice location is (774) 246-9347.
Where is Dr. Moon located?
11225 Us Highway 301 N, Parrish, FL 34219-8675.
What is the taxonomy code for Dr. Moon?
The primary taxonomy code is 122300000X – Dentist.
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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