Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TAEHYUNG MOON, DDS
ActiveDR. TAEHYUNG MOON, DDS is a Dentist healthcare provider located in MACHESNEY PARK, Illinois. NPI 1083902308 is currently active in the NPPES registry. Verify at CMS.
Dentist · MACHESNEY PARK, IL
Registration Details
- NPI Number
- 1083902308
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 20, 2011 (15.039886804711 yrs)
- Last Updated
- Jul 20, 2011
- License
-
019.028765 (IL)
Practice Information
- Address
-
1363 W LANE RDMACHESNEY PARK, IL, 611151621Browse IL providers · Browse ZIP 61115
- Phone
- 8156372800
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in MACHESNEY PARK, IL
| Name | Credential | NPI |
|---|---|---|
| MITALKUMAR K PATEL | DDS | 1922326271 |
| DR. ZEHRA ALI | DDS | 1407177926 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.