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Beverly Moon, DMD
General Practice Dentistry in Shawnee, Kansas
NPI 1154558831

Beverly Moon is a General Practice Dentistry based in Junction City, KS and is specialized in General Practice. Beverly Moon practices in Shawnee, KS and has the professional credentials of DMD. The NPI Number for Beverly Moon is 1154558831 and holds a License No. 60824 (Kansas).

The current practice location address for Beverly Moon is 5550 Hedge Lane Ter, Shawnee, KS and can be reached out via phone at 913-422-6699.

Location: 5550 Hedge Lane Ter, Shawnee, KS, 66441-3966
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154558831
Provider Name
Beverly Moon
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
5550 Hedge Lane Ter, Shawnee, KS, 66441-3966
Phone Number
913-422-6699
Fax Number
Provider Enumeration Date
06/19/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5550 Hedge Lane Ter
City
Shawnee
State
Kansas
Zip
66226-2253
Phone Number
913-422-6699
Fax Number
person
Provider Business Mailing Address Details
Address
5550 Hedge Lane Ter
City
Shawnee
State
Kansas
Zip
66226-2253
Phone Number
913-422-6699
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
60824 (Kansas)
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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