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

Eun Sang Moon, DDS

Individual provider General Practice Dentistry · NPI 1801395538

Eun Sang Moon, DDS is a General Practice Dentistry in Monroe, Washington. Practices as a sole proprietor and works from 2 locations. Licensed in Ohio and Washington.

Licensed in
OH, WA
In the registry since
2018
Specialties on file
2
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

17707 W Main St
Monroe, WA 98272-1967
Phone: (602) 823-9003
Fax: (360) 282-3907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 305 W 12th Ave, Columbus, OH 43210 — (614) 701-8648

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence DE61330238 (WA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 30.024728 (OH)

Record details

NPI number1801395538
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedFebruary 8, 2018
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024
Mailing address85-60ho, Sangbong-Dong, Seoul, 02152

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