Individual provider · Type 1 NPI

Jimmy Joe Moon Sr., DDS

General Practice Dentistry · Pasadena, TX

NPI number 1629077839 Active

About NPI 1629077839

Jimmy Joe Moon Sr., DDS's National Provider Identifier is 1629077839, issued on Jul 19, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Pasadena, TX. The record was last updated on Jul 14, 2009.