Beverly Moon, DMD

General Practice Dentistry · Shawnee, KS

Individual Active NPI

NPI number 1154558831

Practice location

5550 Hedge Lane Ter
Shawnee, KS 66226-2253
Phone
(913) 422-6699

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NPI record

NPI
1154558831
Entity type
Individual (Type 1)
Enumeration date
June 19, 2009
Last updated
February 27, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 60824 KS

Mailing address

1608 S Garfield St
Junction City, KS 66441-3966
Phone
(732) 754-1998

About Dr. Moon

Beverly Moon, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5550 Hedge Lane Ter, Shawnee, KS 66226-2253. The NPI number 1154558831 was assigned on June 19, 2009 and the record was last updated on February 27, 2013.

Dr. Moon lists a license in the registry: #60824 (KS) 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 Beverly Moon, DMD?

The NPI number is 1154558831.

What is the phone number of Dr. Moon?

The phone number listed for the practice location is (913) 422-6699.

Where is Dr. Moon located?

5550 Hedge Lane Ter, Shawnee, KS 66226-2253.

What is the taxonomy code for Dr. 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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