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

Dr. Jacklyn J Moon, DDS

Individual provider Dentist · NPI 1811622350

Dr. Jacklyn J Moon, DDS is a Dentist in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2022.

Licensed in
WI
In the registry since
2022
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

205 E Wisconsin Ave
Milwaukee, WI 53202-4207
Phone: (414) 778-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6000049-15 (WI)

Record details

NPI number1811622350
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 19, 2022
Last updated in NPPESJuly 19, 2022
Certification dateJuly 19, 2022
Mailing address706 E Juneau Ave Apt 3, Milwaukee, WI 53202-3520

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