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Dr. Richard T Moon, DDS
General Practice Dentistry in Peoria, Illinois
NPI 1639220833

Richard T Moon is a General Practice Dentistry based in Peoria, IL and is specialized in General Practice. Richard T Moon practices in Peoria, IL and has the professional credentials of DDS. The NPI Number for Richard T Moon is 1639220833 and holds a License No. (Illinois).

The current practice location address for Richard T Moon is 6712 N Mountello Dr, Peoria, IL and can be reached out via phone at 309-691-7855 and via fax at 309-691-8853.

Location: 6712 N Mountello Dr, Peoria, IL, 61614-2328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639220833
Provider Name
Richard T Moon
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
6712 N Mountello Dr, Peoria, IL, 61614-2328
Phone Number
309-691-7855
Fax Number
309-691-8853
Provider Enumeration Date
01/15/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6712 N Mountello Dr
City
Peoria
State
Illinois
Zip
61614-2328
Phone Number
309-691-7855
Fax Number
309-691-8853
person
Provider Business Mailing Address Details
Address
6712 N Mountello Dr
City
Peoria
State
Illinois
Zip
61614-2328
Phone Number
309-691-7855
Fax Number
309-691-8853
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
(Illinois)
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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