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Dr. Gerald Rodger Moon, DDS
Dentist in Peoria, Illinois
NPI 1669516688

Gerald Rodger Moon is a Dentist based in Peoria, IL. Gerald Rodger Moon practices in Peoria, IL and has the professional credentials of DDS. The NPI Number for Gerald Rodger Moon is 1669516688 and holds a License No. 19A13409 (Illinois).

The current practice location address for Gerald Rodger Moon is 2809 W Willow Knolls Rd, Peoria, IL and can be reached out via phone at 309-682-2090 and via fax at 309-682-0903. You can also correspond with Gerald Rodger Moon through the mailing address at 2809 W WILLOW KNOLLS RD, PEORIA, IL - 61614 (mailing address contact number: ).

Location: 2809 W Willow Knolls Rd, Peoria, IL, 61614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669516688
Provider Name
Gerald Rodger Moon
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2809 W Willow Knolls Rd, Peoria, IL, 61614
Phone Number
309-682-2090
Fax Number
309-682-0903
Provider Enumeration Date
02/16/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2809 W Willow Knolls Rd
City
Peoria
State
Illinois
Zip
61614
Phone Number
309-682-2090
Fax Number
309-682-0903
person
Provider Business Mailing Address Details
Address
2809 W Willow Knolls Rd
City
Peoria
State
Illinois
Zip
61614
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
19A13409 (Illinois)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
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