Individual provider · Type 1 NPI
Chan Young Moon
Orofacial Pain Dentistry · Seocho-Gu, KR
Practice location
13 Seochodaero, B1 101 Ho, Moon's Dental Clinic
Seocho-Gu, KR 06569
Other practice locations
- 3801 Fairfax Dr Ste 24, Arlington, VA 22203-1762 · (703) 988-7278
- 1 Kneeland St, Boston, MA 02111-1527 · (617) 636-6828
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orofacial Pain Dentistry Primary | 1223X2210X | 0401418565 (VA) |
| General Practice Dentistry | 1223G0001X | 0401418565 (VA) |
Orofacial Pain Dentistry: A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain…
About NPI 1326733379
Chan Young Moon's National Provider Identifier is 1326733379, issued on Apr 6, 2023. The primary taxonomy on file is Orofacial Pain Dentistry (1223X2210X), and the practice location is in Seocho-Gu, KR. The record was last updated on Apr 15, 2026.