YOODONG MOON


Address: 3901 Old Seward Hwy, 12-a, Anchorage, AK 99503-6089
Phone: 9099915635

YOODONG MOON (NPI# 1033550199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033550199
Entity Type Individual
Full Name YOODONG MOON
Credential D.D.S
Practice Address 3901 Old Seward Hwy
12-a
Anchorage
AK 99503-6089
Mailing Address 4830n Pulaski Rd 108
Chicago
IL 60630-2847
Practice Telephone 9099915635
Mailing Telephone 7732832100
Enumeration Date 2013-07-17
Last Update Date 2015-12-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 1506 AK Dental Providers

Office Location

Street Address 3901 OLD SEWARD HWY
12-A
City ANCHORAGE
State AK
Zip Code 99503-6089

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285918623 Adams Chiropractic Health Clinic, LLC Chiropractor 3901 Old Seward Hwy, Suite 11, Anchorage, AK 99503-6089 2011-10-04
1790218022 Mikhail Berak Massage Therapist 3901 Old Seward Hwy, Ste 11, Anchorage, AK 99503-6089 2017-04-04
1477961720 Arctic Pain Relief Center, LLC Chiropractor 3901 Old Seward Hwy, #11, Anchorage, AK 99503-6089 2014-07-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164020772 Miladis Mcduffie Massage Therapist 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 2020-10-15
1447804984 Bethany Lynn Becker Optometrist 401 E. Northern Lights Blvd. Suite 102, Anchorage, AK 99503 2019-08-01
1265084933 Carr-gottstein Foods Co Durable Medical Equipment & Medical Supplies 2920 Seward Hwy, Anchorage, AK 99503 2019-07-12
1982268942 Rukiyia Smith Behavior Technician 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 2019-04-25
1245894310 Mary Kathleen Tate Specialist/Technologist 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 2019-04-24
1194295766 Kimberly Sue Trent Registered Nurse 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 2018-11-27
1659869089 Alaska Spine & Pain Center, LLC Chiropractor 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503 2018-05-01
1235643123 Rosanne Louise Klouda Massage Therapist 213 Fireweed Ln, Anchorage, AK 99503 2017-11-30
1801309042 Online Care Group Alaska General Practice 200 W. 34th Ave, Anchorage, AK 99503 2017-11-09
1548773849 Leslie K Michalski Massage Therapist 510 W Tudor Rd Ste 9, Anchorage, AK 99503 2017-11-08
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760081558 Arne Anton Krogh Dentist 2665 E Tudor Rd Ste 300, Anchorage, AK 99507-1144 2020-10-22
1821649864 Chase A Lundin Dentist 4001 Lake Otis Pkwy Ste 200, Anchorage, AK 99508-5200 2019-09-20
1992358261 Shaun Mcnees Dentist 2805 Dawson St Ste 101, Anchorage, AK 99503-3800 2019-07-16
1194281725 South Gate Cosmetic & Implant Dentistry LLC Dentist 12570 Old Seward Hwy Ste 201, Anchorage, AK 99515-3532 2019-02-19
1124593769 Luff Orthodontics Partnership LLC Dentist 3708 Rhone Circle, Anchorage, AK 99508 2018-10-10
1457835167 Motuuf, LLC. Dentist 3401 Denali St Ste 201, Anchorage, AK 99503-4001 2018-09-18
1609356310 Iris Ohsie Dentist 1921 W Dimond Blvd Ste 101, Anchorage, AK 99515-1465 2018-08-21
1649797796 Seong Guy Hyung Dentist 726 E 9th Avenue, Anchorage, AK 99501 2017-08-29
1306361712 Leilani Marlin Dentist 2000 Abbott Rd Ste 100, Anchorage, AK 99507-3878 2017-08-07
1750802104 Ali Azar Dentist 1136 N Muldoon Rd, Anchorage, AK 99504-6119 2017-07-06
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Competitor

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City ANCHORAGE
Zip Code 99503

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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