IndividualActive
Joe Moon, DMD
NPI 1548418940 · Orthodontics and Dentofacial Orthopedics Dentistry · Overland Park, KS
Provider details
- NPI number
- 1548418940
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 60822 (KS)
Specialties & taxonomies
Dental Providers
Practice location
16424 Lucille St
Overland Park, KS 66221-7032
Phone: (215) 432-2779
Approximate (ZIP-level) locationGet directions
Mailing address
16424 Lucille St
Overland Park, KS 66221-7032
Registry dates
- Enumerated
- 2008-08-28
- Last updated
- 2015-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.