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

Sunny Moon, DT

Individual provider Dental Therapist · NPI 1487154092

Sunny Moon, DT is a Dental Therapist in Bloomington, Minnesota. Licensed in Minnesota. Registered with an NPI since 2018.

Licensed in
MN
In the registry since
2018

Practice location Address checks out

10584 France Ave S
Bloomington, MN 55431-3538
Phone: (952) 666-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Therapist (primary) Taxonomy 125J00000X · Licence DT98 (MN)

Record details

NPI number1487154092
Entity typeIndividual (Type 1)
GenderFemale
Credentials DT
Sole proprietorNo
NPI enumeratedFebruary 20, 2018
Last updated in NPPESFebruary 13, 2020
Certification dateFebruary 13, 2020
Mailing address636 Broadway St Ne, Minneapolis, MN 55413-2164

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