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DR. MICHAEL MOON DDS
NPI 1336871995
Dentist - General Practice in Sulphur, OK

Active since June 30, 2022
2611 W BROADWAY AVE, SULPHUR, OK 73086(580) 622-6655 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Moon Dds NPPES

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

DR. MICHAEL MOON DDS (NPI 1336871995) is an individual general practice provider in Sulphur, Oklahoma, licensed in Oklahoma (7615) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1336871995
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MICHAEL MOONCredential: DDS
Location Address2611 W BROADWAY AVESulphur, OK 73086-6518
Mailing Address2222 Cloverleaf PlArdmore, OK 73401-3421 · (214) 713-9759
Phone(580) 622-6655
Sole ProprietorNo
Enumeration DateJune 30, 2022
NPPES CertifiedJune 27, 2022
✔ NPI 1336871995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OK · 7615
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2611 W BROADWAY AVE, Sulphur, OK 73086
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Accepted Insurance

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

Other Providers at the Same Location NPPES

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

SULPHUR DENTISTRY & BRACES
Clinic/Center (Dental)
2611 W BROADWAY AVE
SULPHUR, OK 73086
Murray County (580) 622-6655

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 Michael Moon's NPI number?

The NPI number for Michael Moon is 1336871995. It was assigned to this individual provider in the NPPES registry on June 30, 2022.

Where is Michael Moon located?

Michael Moon practices at 2611 W Broadway Ave, Sulphur, OK 73086. The listed phone number is (580) 622-6655.

What is Michael Moon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Michael Moon accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Michael 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 Michael Moon was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.