Richard T. Moon, DDS, PC
Richard T. Moon, DDS, PC is a General Practice Dentistry in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6712 N Mountello DrPeoria, IL 61614-2328
Phone: (309) 691-7855
Fax: (309) 691-8853
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X (IL) |
|---|
Record details
| NPI number | 1093931784 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Moon — Dentist · (309) 691-7855 |
| NPI enumerated | April 18, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 6712 N Mountello Dr, Peoria, IL 61614-2328 |
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