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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RICHARD T MOON, DDS

Active

DR. RICHARD T MOON, DDS is a General Dentistry healthcare provider located in PEORIA, Illinois. NPI 1639220833 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · PEORIA, IL

Registration Details

NPI Number
1639220833
Provider Type
Individual
Gender
Male
NPI Issued
Jan 15, 2007 (19.590338060689 yrs)
Last Updated
Jul 8, 2007

Practice Information

Address
6712 N MOUNTELLO DR
PEORIA, IL, 616142328
Browse IL providers · Browse ZIP 61614
Phone
3096917855
Fax
3096918853
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in PEORIA, IL

Name Credential NPI
DR. JAMES A MEAGHER D.D.S 1174545974
DR. THOMAS R BOYD DDS 1871516419
DR. GARY R. STAMM D.D.S. 1710901020
DR. JOHN ROBERT SPIGELMYER D.D.S. 1366452104
GLEN D. THOMPSON DMD 1417967936
DR. THOMAS CHARLES FERLMANN D.M.D. 1396858130
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.