Individual provider · Type 1 NPI

Beverly Moon, DMD

General Practice Dentistry · Shawnee, KS

NPI number 1154558831 Active

Practice location

5550 Hedge Lane Ter
Shawnee, KS 66226-2253

Mailing address

1608 S Garfield St
Junction City, KS 66441-3966

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X60824 (KS)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1154558831

Beverly Moon, DMD's National Provider Identifier is 1154558831, issued on Jun 19, 2009. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Shawnee, KS. The record was last updated on Feb 27, 2013.