| Dr. Kerry Moon, D.d.s., Pllc | |
|
2501 Crestwood Rd Ste 201 North Little Rock AR 72116-7616 | |
| (501) 758-5006 | |
| Not Available |
| Full Name | Dr. Kerry Moon, D.d.s., Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2501 Crestwood Rd Ste 201, North Little Rock, Arkansas |
| Authorized Official Name and Position | Kery Moon (OWNER DENTIST) |
| Authorized Official Contact | 5012815347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Kerry Moon, D.d.s., Pllc 719 Willow St North Little Rock AR 72114-4637 Ph: () - | Dr. Kerry Moon, D.d.s., Pllc 2501 Crestwood Rd Ste 201 North Little Rock AR 72116-7616 Ph: (501) 758-5006 |
| NPI Number | 1013658681 |
|---|---|
| Provider Enumeration Date | 04/06/2022 |
| Last Update Date | 04/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013658681 | NPI | - | NPPES |
| 243554608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Dental Health Center Of Arkansas, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2550 Main St, North Little Rock, AR 72114 Phone: 501-812-4949 Fax: 501-812-4994 | |
Peder Jensen, Dmd, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Crestwood Rd, Ste 102, North Little Rock, AR 72116 Phone: 501-758-6182 Fax: 501-758-6184 | |
Orahood Blanscet Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2504 Mccain Blvd Ste 201, North Little Rock, AR 72116 Phone: 501-758-8002 Fax: 501-758-1839 | |
Denesh K Khullar Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2524 Crestwood Rd Ste 2, North Little Rock, AR 72116 Phone: 501-753-7366 | |
Grounds & Meggers Family Dentistry, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4720 Camp Robinson Rd, Suite B, North Little Rock, AR 72118 Phone: 501-753-5564 Fax: 501-753-8650 | |
David F Brockman Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2524 Crestwood Rd, Suite 2, North Little Rock, AR 72116 Phone: 501-753-7366 |