Dr. Kerry Moon, D.D.S., Pllc

LBN: Dr. Kerry Moon, D.D.S., Pllc
Dr. Kerry Moon, D.D.S., Pllc is an health care organization with primary practice located at 2501 Crestwood Rd Ste 201 , North Little Rock AR 72116-7616. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Dr. Kerry Moon, D.D.S., Pllc can be contacted via phone (501) 758-5006, or through Moon, Kery via phone (501) 281-5347.

Contact Information

Primary practice address
2501 Crestwood Rd Ste 201 North Little Rock AR 72116-7616
Phone: (501) 758-5006
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moon, Kery Doctor of Dental Surgery (DDS)
Phone: (501) 281-5347

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1013658681
LBN Legal business name Dr. Kerry Moon, D.D.S., Pllc
DBA Doing business as
Authorized official Moon, Kery Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2022
Last updated Apr 6th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013658681 NPPES
Arkansas MEDICAID 243554608

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