Individual provider · Type 1 NPI
Audrey Moon, DDS, MSD
Orthodontics and Dentofacial Orthopedics Dentistry · Pearland, TX
Practice location
2015 Broadway St Ste A
Pearland, TX 77581-5696
Fax (281) 485-3374
Other practice locations
- 19433 Highway 6 Ste 130, Manvel, TX 77578-3890 · (281) 485-6004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 28170 (TX) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1831591940
Audrey Moon, DDS, MSD's National Provider Identifier is 1831591940, issued on Sep 19, 2014. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Pearland, TX. The record was last updated on Jul 21, 2026.