Michael C Moon in Washington - General Practice
Michael C Moon - NPI 1629189360
Michael C Moon is a General Practice in Washington, Illinois. Michael C Moon practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michael C Moon is 1629189360. The last update date is 2007-07-08.
Michael C Moon's current location address is 1762 Washington Rd, Washington, Illinois. You can contact this provider via phone number 3094443207. The mailing address for Michael C Moon is 1762 Washington Rd, Washington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael C Moon |
|---|---|
| Address | 1762 Washington Rd, Washington, Illinois |
| Phone Number | 3094443207 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1629189360 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1762 Washington Rd |
|---|---|
| City | Washington |
| State | Illinois (IL) |
| Post Code | 615712278 |
| Phone Number | 3094443207 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code assigned to Michael C Moon by the Centers for Medicare & Medicaid Services?
The Michael C Moon has been issued the NPI (National Provider Identifier) 1629189360, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Michael C Moon?
The Michael C Moon is physically situated at 1762 Washington Rd, in the city of Washington, state of IL, with the postal code 615712278.
What is Michael C Moon's area of expertise and its corresponding taxonomy classification?
The Michael C Moon's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1629189360 to Michael C Moon?
The Michael C Moon received its 1629189360 assignment from the Centers for Medicare & Medicaid Services on 2006-08-31.
As of what date were the Michael C Moon's details last updated?
The information pertaining to the Michael C Moon, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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