DR. SALLY JO MOON DDS
NPI 1104714757
Dentist in Parrish, FL

Q: What is Sally Moon's NPI number?

The NPI number for Sally Moon is 1104714757. It was assigned to this individual provider in the NPPES registry on June 24, 2025.

Q: What is Sally Moon's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Sally Moon was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 24, 2025

11225 US HIGHWAY 301 N, PARRISH, FL 34219(774) 246-9347 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Sally Jo Moon Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SALLY JO MOON DDS (NPI 1104714757) is an individual dentist in Parrish, Florida, licensed in Florida (DN30240) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1104714757

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. SALLY JO MOONCredential: DDS

Location Address11225 US HIGHWAY 301 NParrish, FL 34219-8675

Mailing Address212 Snyder AveAnn Arbor, MI 48103-5563 · (616) 322-5587

Phone(774) 246-9347

Sole ProprietorNo

Enumeration DateJune 24, 2025

NPPES CertifiedJune 24, 2025

✔ NPI 1104714757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · DN30240

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.

11225 US HIGHWAY 301 N, Parrish, FL 34219

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.

Dentist (General Practice)

11225 US HIGHWAY 301 N
PARRISH, FL 34219

Manatee County (941) 418-0001

MICHAEL PATRICK WALDRON DMD

Dentist (General Practice)

11225 US HIGHWAY 301 N
PARRISH, FL 34219

Manatee County (941) 418-0001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sally Moon's NPI number?

The NPI number for Sally Moon is 1104714757. It was assigned to this individual provider in the NPPES registry on June 24, 2025.

Where is Sally Moon located?

Sally Moon practices at 11225 Us Highway 301 N, Parrish, FL 34219. The listed phone number is (774) 246-9347.

What is Sally Moon's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Sally Moon accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 6 other insurers list Sally Moon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sally Moon was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.