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SUNNY MOON DT
NPI 1487154092
Dental Therapist in Bloomington, MN

Active since February 20, 2018
10584 FRANCE AVE S, BLOOMINGTON, MN 55431(952) 666-6000 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 13, 2020, Feb 20, 2018 (2 updates tracked since 2018).

About Sunny Moon Dt NPPES

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

SUNNY MOON DT (NPI 1487154092) is an individual dental therapist in Bloomington, Minnesota, licensed in Minnesota (DT98) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1487154092
Entity TypeIndividualFemale
Primary Taxonomy125J00000X
Provider Legal NameSUNNY MOONCredential: DT
Location Address10584 FRANCE AVE SBloomington, MN 55431-3538
Mailing Address636 Broadway St NeMinneapolis, MN 55413-2164
Phone(952) 666-6000
Sole ProprietorNo
Enumeration DateFebruary 20, 2018
Last NPPES UpdateFebruary 13, 20202 updates tracked since enumeration
✔ NPI 1487154092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental TherapistDental Providers
Taxonomy Code125J00000X
License✔ Licensed in MN · DT98
Definition
A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.
10584 FRANCE AVE S, Bloomington, MN 55431
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Other Providers at the Same Location NPPES 4

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

ACTION FOR EAST AFRICAN PEOPLE AFEAP
Pharmacy
10584 FRANCE AVE S
BLOOMINGTON, MN 55431
Hennepin County (611) 458-6830
ACTION DENTAL
Clinic/Center (Dental)
10584 FRANCE AVE S
BLOOMINGTON, MN 55431
Hennepin County (952) 305-6189
ACTIONCARE COMMUNITY CLINIC INC
Clinic/Center
10584 FRANCE AVE S
BLOOMINGTON, MN 55431
Hennepin County (612) 458-6830
RYAN M HELF PA
Physician Assistant
10584 FRANCE AVE S
BLOOMINGTON, MN 55431
Hennepin County (952) 666-6000

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 Sunny Moon's NPI number?

The NPI number for Sunny Moon is 1487154092. It was assigned to this individual provider in the NPPES registry on February 20, 2018.

Where is Sunny Moon located?

Sunny Moon practices at 10584 France Ave S, Bloomington, MN 55431. The listed phone number is (952) 666-6000.

What is Sunny Moon's specialty?

The primary specialty registered for this NPI is Dental Therapist with taxonomy code 125J00000X.

When was this NPI record last updated?

The NPPES record for Sunny Moon was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.