Dr. Jungsoo Moon, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Worcester, Massachusetts
1669624888- Practice location
- 10 Winthrop St, Worcester, MA 01604-4435
- Phone
- 508-755-2207
- Fax
- —
- Last updated
- August 20, 2017
Jungsoo Moon is a Dentist, Orthodontics and Dentofacial Orthopedics based in Worcester, MA. Jungsoo Moon practices in Worcester, MA and has the professional credentials of DDS. The NPI Number for Jungsoo Moon is 1669624888 and holds a License No. DN015188 (GA). The current practice location address for Jungsoo Moon is 10 Winthrop St, Worcester, MA 01604-4435 and can be reached out via phone at 508-755-2207.
Provider Profile Details
- NPI Number
- 1669624888
- Provider Name
- Jungsoo Moon
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 10 Winthrop St, Worcester, MA 01604-4435
- Phone Number
- 508-755-2207
- Primary Taxonomy
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 21, 2008
- Last Update Date
- August 20, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Winthrop St
Worcester, MA 01604-4435 - City
- Worcester
- State
- Massachusetts
- Zip
- 01604-4435
- Phone Number
- 508-755-2207
Provider Business Mailing Address Details
- Address
- 10 Winthrop St
Worcester, MA 01604-4435 - City
- Worcester
- State
- MA
- Zip
- 01604-4435
License Information
- License Number
- DN015188
- License State
- GA
- Taxonomy
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jungsoo Moon, DDS?
The NPI number of Dr. Jungsoo Moon, DDS is 1669624888. It was assigned on October 21, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Jungsoo Moon, DDS?
Dr. Jungsoo Moon, DDS is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in GA under license number DN015188.
Where does Dr. Jungsoo Moon, DDS practice?
The practice location is 10 Winthrop St, Worcester, MA 01604-4435. The office can be reached at 508-755-2207 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669624888 directly on the NPPES registry website.