DR. KERRY MOON D.D.S. PLLC NPI 1013658681

NPI Information

DR. KERRY MOON, D.D.S., PLLC is a dental clinic center in North Little Rock, AR. DR. KERRY MOON, D.D.S., PLLC NPI is 1013658681. The provider is registered as an organization entity type.

The provider's business location address is:

2501 CRESTWOOD RD STE 201
NORTH LITTLE ROCK, AR
ZIP 72116-616
Phone: (501) 758-5006

The provider's authorized official is Kery Moon .
The authorized official title is Owner Dentist and has the following contact phone number (501) 281-5347.

The enumeration date for this NPI number is 4/6/2022 and was last updated on 4/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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