| Dr Tae Yoon Moon, DDS | |
|
6958 Nebraska Ave Bldg 1608, Fort Leonard Wood, MO 65473-1618 | |
| (573) 596-0364 | |
| Not Available |
| Full Name | Dr Tae Yoon Moon |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 6958 Nebraska Ave Bldg 1608, Fort Leonard Wood, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386075950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS039790 (Pennsylvania) | Secondary |
| 1223G0001X | Dentist - General Practice | DS039790 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tae Yoon Moon, DDS 6958 Nebraska Ave Bldg 1608, Fort Leonard Wood, MO 65473-1618 Ph: (573) 596-0364 | Dr Tae Yoon Moon, DDS 6958 Nebraska Ave Bldg 1608, Fort Leonard Wood, MO 65473-1618 Ph: (573) 596-0364 |
Dr. Mark M Kuba, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1724 Nebraska Ave, Bldg 1608, Fort Leonard Wood, MO 65473 Phone: 573-396-0408 Fax: 573-596-0314 | |
Kyle Leach, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 6958 Nebraska Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0408 | |
Dr. Brady O Thompson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6958 Nebraska Ave Bldg 1608, Fort Leonard Wood, MO 65473 Phone: 537-596-0364 | |
Dr. Emily Slusher, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 12720 Kansas Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-1470 | |
Nathan John Proctor, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1724 Nebraska Ave., Fort Leonard Wood, MO 65473 Phone: 573-596-0408 | |
Marie T Welton, DDS Dentist Medicare: Medicare Enrolled Practice Location: 6958 Nebraska Ave Bldg 1608, Fort Leonard Wood, MO 65473 Phone: 573-596-0364 | |
Alesia Hatten, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6958 Nebraska Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0411 Fax: 573-596-0410 |