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Jacklyn Moon, DDS
NPI 1811622350 · Dentist · Milwaukee, WI
Jacklyn Moon, DDS is a Dentist provider in Milwaukee, WI (NPI 1811622350).
Provider details
- NPI number
- 1811622350
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 6000049-15 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs 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
205 E Wisconsin Ave
Milwaukee, WI 53202-4207
Phone: (414) 778-3600
Street-level locationGet directions
Mailing address
706 E Juneau Ave Apt 3
Milwaukee, WI 53202-3520
Registry dates
- Enumerated
- 2022-07-19
- Last updated
- 2022-07-19
- Certified
- 2022-07-19
Frequently asked questions
- What is Jacklyn Moon's NPI number?
- Jacklyn Moon's National Provider Identifier (NPI) is 1811622350, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacklyn Moon's specialty?
- Jacklyn Moon is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jacklyn Moon located?
- Jacklyn Moon's practice location on file with NPPES is 205 E Wisconsin Ave, Milwaukee, WI 53202-4207.
- What is Jacklyn Moon's phone number?
- The practice phone number listed in the NPPES registry for Jacklyn Moon is (414) 778-3600.
- Is Jacklyn Moon's NPI active?
- Yes — Jacklyn Moon's NPI (1811622350) is active in the NPPES registry as of the last update on 2022-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.