Individual provider · Type 1 NPI

Michael Moon, DDS

General Practice Dentistry · Sulphur, OK

NPI number 1336871995 Active

Practice location

2611 W Broadway Ave
Sulphur, OK 73086-6518

Mailing address

2222 Cloverleaf Pl
Ardmore, OK 73401-3421

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X7615 (OK)

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 1336871995

Michael Moon, DDS's National Provider Identifier is 1336871995, issued on Jun 30, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Sulphur, OK. The record was last updated on Jun 30, 2022.