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

Individual provider General Practice Dentistry · NPI 1154558831

Beverly Moon, DMD is a General Practice Dentistry in Shawnee, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2009
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

5550 Hedge Lane Ter
Shawnee, KS 66226-2253
Phone: (913) 422-6699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 60824 (KS)

Record details

NPI number1154558831
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 19, 2009
Last updated in NPPESFebruary 27, 2013
Mailing address1608 S Garfield St, Junction City, KS 66441-3966

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