John C Moon is a Dentist in Half Moon Bay, California. John C Moon practices all healthcare services and medical treatments related to Dentist. The NPI Number for John C Moon is 1740332865. The last update date is 2007-07-08.
John C Moon's current location address is 611 Church Street, Half Moon Bay, California. You can contact this provider via phone number 6507267597 and fax number 6507267505. The mailing address for John C Moon is 611 Church Street, Half Moon Bay, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John C Moon |
|---|---|
| Address | 611 Church Street, Half Moon Bay, California |
| Phone Number | 6507267597 |
| Fax Number | 6507267505 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1740332865 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 611 Church Street |
|---|---|
| City | Half Moon Bay |
| State | California (CA) |
| Post Code | 94019 |
| Phone Number | 6507267597 |
| Fax Number | 6507267505 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 46500 |
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Definition: 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: denti |
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What is the unique provider identifier assigned to John C Moon?
The John C Moon has been issued the NPI (National Provider Identifier) 1740332865 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where John C Moon's facilities are situated?
The facilities of John C Moon are physically located at the following address: 611 Church Street, Half Moon Bay, CA, 94019.
What is John C Moon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John C Moon is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1740332865 to John C Moon?
The Centers for Medicare & Medicaid Services assigned the 1740332865 to John C Moon on 2007-01-17.
As of what date were the John C Moon's details last updated?
The information pertaining to the John C Moon, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1720081763
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