Individual provider · Type 1 NPI
Gerald Rodger Moon, DDS
Dentist · Peoria, IL
Practice location
2809 W Willow Knolls Rd, G Rodger Moon Dds
Peoria, IL 61614
Fax (309) 682-0903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 19A13409 (IL) |
Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…
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About NPI 1669516688
Gerald Rodger Moon, DDS's National Provider Identifier is 1669516688, issued on Feb 16, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Peoria, IL. The record was last updated on Jul 8, 2007.