DR. CHAN YOUNG MOON
NPI 1326733379
Dentist - Orofacial Pain in Seocho-gu, SEOUL
- Individual
- Male
- Dentist
- Orofacial Pain
About CHAN YOUNG MOON
This page provides the complete NPI Profile along with additional information for Chan Young Moon, a provider established in Seocho-gu, with a medical specialization in Dentist, focusing in orofacial pain . The healthcare provider is registered in the NPI registry with number 1326733379 assigned on April 2023. The practitioner's primary taxonomy code is 1223X2210X with license number 0401418565 (VA). The provider is registered as an individual and his NPI record was last updated April 2026.
- NPI
- 1326733379 Verify this NPI
- Provider Name
- DR. CHAN YOUNG MOON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 13 SEOCHODAERO B1 101 HO, MOON'S DENTAL CLINIC SEOCHO-GU, SEOUL 06569
- Location Phone
- Mailing Address
- 13 SEOCHODAERO B1 101, MOON'S DENTAL CLINIC SEOCHO-GU, SEOUL 06569
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-06-2023
- Last Update Date
- 04-15-2026
- Code Navigator
A dentist like Chan Young Moon is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Secondary Locations
- 1 Kneeland St
Boston, MA 02111
(617) 636-6828 - 3801 Fairfax Dr Ste 24
Arlington, VA 22203
(703) 988-7278
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Orofacial Pain
- Taxonomy Code
- 1223X2210X
- Type
- Dental Providers
- License No.
- 0401418565
- License State
- VA
- Taxonomy Description
- A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1223G0001X | Dental Providers | Dentist | 0401418565 (VA) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326733379, enumerated as an "individual" on April 06, 2023.
The provider is located at 13 SEOCHODAERO B1 101 HO, MOON'S DENTAL CLINIC SEOCHO-GU, SEOUL 06569 and the phone number is .
Dentist with taxonomy code 1223X2210X and a focus in Orofacial Pain.
