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DR. MARTY GEORGE MOON D.D.S. NPI 1043295439


NPI Information

NPI: 1043295439
Provider Name: DR. MARTY GEORGE MOON, D.D.S.
Classification: Dentist - 1223P0700X
Entity Type: Individual

Specialization: Prosthodontics

Address:
6900 GEORGIA AVE. NW
BUILDING 2, ROOM 1D02
WASHINGTON, DC
ZIP 20307
Phone: (202) 782-6881
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DR. Marty George Moon, D.D.S. is a prosthodontics dentist in Washington, DC. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DR. Marty George Moon, D.D.S. NPI is 1043295439. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6900 GEORGIA AVE. NW
BUILDING 2, ROOM 1D02
WASHINGTON, DC
ZIP 20307-400
Phone: (202) 782-6881
Fax: (202) 782-6987

The enumeration date for this NPI number is 12/8/2005 and was last updated on 7/8/2007.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0700XDentistProsthodontics9954GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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