NPI 1013658681

Dr. Kerry Moon, D.D.S., PLLC

Organisation Dental Clinic/Center North Little Rock, AR

Practice location

Address: 2501 Crestwood Rd STE 201, North Little Rock, AR 72116-7616
Phone: (501) 758-5006
Mailing address: 719 Willow St, North Little Rock, AR 72114-4637

Authorised official

Name: Kery Moon
Title: Owner Dentist
Phone: (501) 281-5347

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Arkansas →

Registry record

NPI: 1013658681
Entity type: Organization
NPI issued: 6 Apr 2022
Record last updated: 6 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.