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

STACY J. MOON DDS, PA

Active Organization

STACY J. MOON DDS, PA is a Dental Clinic organization located in BOISE, Idaho. NPI 1851554737 is currently active in the NPPES registry. Verify at CMS.

Dental Clinic · BOISE, ID

Registration Details

NPI Number
1851554737
Provider Type
Organization
NPI Issued
Jul 9, 2008 (18.1163391096 yrs)
Last Updated
Jul 9, 2008
License
D3387 (ID)

Practice Information

Address
6019 N EAGLE RD
BOISE, ID, 837130997
Browse ID providers · Browse ZIP 83713
Phone
2089397053
Fax
2089386032
Primary Specialty
Dental Clinic
261QD0000X

Other Dental Clinic Organizations in BOISE, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.