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

Moon Road Cosmetic & Family Dentistry

Organization Dentist · NPI 1790970614

Moon Road Cosmetic & Family Dentistry is a Dentist in Columbus, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
Specialties on file
2

Practice location Address checks out

7209 Moon Rd
Columbus, GA 31909-1798
Phone: (706) 243-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 011235 (GA)
Dentist Taxonomy 122300000X · Licence 011235 (GA)

Record details

NPI number1790970614
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dayo Obebe — Director · (706) 243-3000
NPI enumeratedSeptember 13, 2007
Last updated in NPPESSeptember 13, 2007
Mailing address7209 Moon Rd, Columbus, GA 31909-1798

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