Individual provider · Type 1 NPI
Stacy Jerald Moon, DDS
Dentist · Boise, ID
Practice location
4266 N Eagle Rd
Boise, ID 83713-0726
Fax (208) 938-6032
Mailing address
3550 N Brookside Ln
Boise, ID 83714-9705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | D3387 (ID) |
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 1881645166
Stacy Jerald Moon, DDS's National Provider Identifier is 1881645166, issued on May 12, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Boise, ID. The record was last updated on Jul 6, 2023.