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PAMELA D MOON NPI 1972991552


NPI Information

NPI: 1972991552
Provider Name: PAMELA D MOON
Classification: Dental Therapist - 125J00000X
Entity Type: Individual
Address:
6600 LYNDALE AVE S
132
RICHFIELD, MN
ZIP 55423
Phone: (612) 243-8999
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Pamela D Moon is a dental therapist in Richfield, MN. The provider is a Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations. Pamela D Moon NPI is 1972991552. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6600 LYNDALE AVE S
132
RICHFIELD, MN
ZIP 55423-380
Phone: (612) 243-8999

The enumeration date for this NPI number is 1/5/2015 and was last updated on 1/5/2015.


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
1125J00000XDental TherapistDT16MINNESOTAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.