Sue K. Moon, DDS

General Practice Dentistry · Leesburg, VA

Individual Active NPI

NPI number 1164548806

Practice location

2 Cardinal Park Dr SE
Suite 206-A
Leesburg, VA 20175-4448
Phone
(703) 771-1515
Fax
(703) 771-8242

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NPI record

NPI
1164548806
Entity type
Individual (Type 1)
Enumeration date
March 22, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 0401410385 VA

About Dr. Moon

Sue K. Moon, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2 Cardinal Park Dr SE, Suite 206-A, Leesburg, VA 20175-4448. The NPI number 1164548806 was assigned on March 22, 2007 and the record was last updated on July 8, 2007.

Dr. Moon lists a license in the registry: #0401410385 (VA) 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 Sue K. Moon, DDS?

The NPI number is 1164548806.

What is the phone number of Dr. Moon?

The phone number listed for the practice location is (703) 771-1515.

Where is Dr. Moon located?

2 Cardinal Park Dr SE, Suite 206-A, Leesburg, VA 20175-4448.

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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