institution
Dr. Kerry Moon, D.d.s., Pllc
Dental Clinic/Center in North Little Rock, Arkansas
NPI 1013658681

Dr. Kerry Moon, D.d.s., Pllc is a Dental Clinic/Center based in North Little Rock, AR and is specialized in Dental. Dr. Kerry Moon, D.d.s., Pllc practices in North Little Rock, AR. The NPI Number for Dr. Kerry Moon, D.d.s., Pllc is 1013658681 and holds a License No. (Arkansas).

The current practice location address for Dr. Kerry Moon, D.d.s., Pllc is 2501 Crestwood Rd Ste 201, North Little Rock, AR and can be reached out via phone at 501-758-5006. You can also correspond with Dr. Kerry Moon, D.d.s., Pllc through the mailing address at 719 WILLOW ST, NORTH LITTLE ROCK, AR - 72114-4637 (mailing address contact number: ).

Location: 2501 Crestwood Rd Ste 201, North Little Rock, AR, 72114-4637
institution
Provider Profile Details
NPI Number
1013658681
Provider Name
Dr. Kerry Moon, D.d.s., Pllc
Credential
Provider Entity Type
Organization
Address
2501 Crestwood Rd Ste 201, North Little Rock, AR, 72114-4637
Phone Number
501-758-5006
Fax Number
Provider Enumeration Date
04/06/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
243554608 05 AR
institution
Provider Business Practice Location Address Details
Address
2501 Crestwood Rd Ste 201
City
State
Zip
72116-7616
Phone Number
501-758-5006
Fax Number
person
Provider Business Mailing Address Details
Address
2501 Crestwood Rd Ste 201
City
State
Zip
72116-7616
Phone Number
501-758-5006
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
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Definition
Definition to come...
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