Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellis Moon Orthodontics, PLLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1720526593

Ellis Moon Orthodontics, PLLC is an Orthodontics and Dentofacial Orthopedics Dentistry in Pearland, Texas. Licensed in Texas. Registered with an NPI since 2017.

Licensed in
TX
In the registry since
2017
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2015 Broadway St Ste A
Pearland, TX 77581-5698
Phone: (281) 485-6003
Fax: (281) 485-3376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 15404 (TX)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 28170 (TX)

Record details

NPI number1720526593
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Audrey Moon — Managing Member · (281) 485-6003
NPI enumeratedFebruary 1, 2017
Last updated in NPPESFebruary 1, 2017
Mailing address2015 Broadway St, Suite A, Pearland, TX 77581-5698

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