Jimmy Joe Moon Sr., D.D.S.

General Practice Dentistry · Pasadena, TX

Individual Active NPI

NPI number 1629077839

Practice location

2009 John St
Pasadena, TX 77502-3375
Phone
(713) 473-6677
Fax
(713) 473-6778

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NPI record

NPI
1629077839
Entity type
Individual (Type 1)
Enumeration date
July 19, 2005
Last updated
July 14, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 13002 TX

About Dr. Moon

Jimmy Joe Moon Sr., D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2009 John St, Pasadena, TX 77502-3375. The NPI number 1629077839 was assigned on July 19, 2005 and the record was last updated on July 14, 2009.

Dr. Moon lists a license in the registry: #13002 (TX) 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 Jimmy Joe Moon Sr., D.D.S.?

The NPI number is 1629077839.

What is the phone number of Dr. Moon?

The phone number listed for the practice location is (713) 473-6677.

Where is Dr. Moon located?

2009 John St, Pasadena, TX 77502-3375.

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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