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Sally Moon, DDS
NPI 1104714757 · Dentist · Parrish, FL
Sally Moon, DDS is a Dentist provider in Parrish, FL (NPI 1104714757).
Provider details
- NPI number
- 1104714757
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- DN30240 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11225 US Highway 301 N
Parrish, FL 34219-8675
Phone: (774) 246-9347
Street-level locationGet directions
Mailing address
212 Snyder Ave
Ann Arbor, MI 48103-5563
Registry dates
- Enumerated
- 2025-06-24
- Last updated
- 2025-06-24
- Certified
- 2025-06-24
Frequently asked questions
- What is Sally Moon's NPI number?
- Sally Moon's National Provider Identifier (NPI) is 1104714757, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sally Moon's specialty?
- Sally Moon is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Sally Moon located?
- Sally Moon's practice location on file with NPPES is 11225 US Highway 301 N, Parrish, FL 34219-8675.
- What is Sally Moon's phone number?
- The practice phone number listed in the NPPES registry for Sally Moon is (774) 246-9347.
- Is Sally Moon's NPI active?
- Yes — Sally Moon's NPI (1104714757) is active in the NPPES registry as of the last update on 2025-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.