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

Mark Moan, DMD

Individual provider General Practice Dentistry · NPI 1992716252

Mark Moan, DMD is a General Practice Dentistry in O Fallon, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
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

1032 Rondale Ct
O Fallon, MO 63368-7368
Phone: (636) 949-2587
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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 2000161564 (MO)

Record details

NPI number1992716252
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 11, 2006
Last updated in NPPESJuly 8, 2007
Mailing address51 Saybridge Manor Pkwy, Lake Saint Louis, MO 63367-1806

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