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JIMMY JOE MOON DDS & BARBARA SEID MOON DDS INC. NPI 1902011307


NPI Information

NPI: 1902011307
Provider Name: JIMMY JOE MOON, DDS & BARBARA SEID MOON, DDS, INC.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2009 JOHN ST
PASADENA, TX
ZIP 77502
Phone: (713) 473-6677
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JIMMY JOE MOON, DDS & BARBARA SEID MOON, DDS, INC. is a dental clinic center in Pasadena, TX. JIMMY JOE MOON, DDS & BARBARA SEID MOON, DDS, INC. NPI is 1902011307. The provider is registered as an organization entity type.

The provider's business location address is:

2009 JOHN ST
PASADENA, TX
ZIP 77502-375
Phone: (713) 473-6677
Fax: (713) 473-6778

The provider's authorized official is Jimmy Joe Moon .
The authorized official title is President and has the following contact phone number (713) 473-6677.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental13002TEXASNo
2261QD0000XClinic/CenterDental13206TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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