DR. GERALD RODGER MOON DDS
NPI 1669516688
Dentist in Peoria, IL

Q: What is Gerald Moon's NPI number?

The NPI number for Gerald Moon is 1669516688. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Q: What is Gerald 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 Gerald Moon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since February 16, 2007

2809 W WILLOW KNOLLS RD, G RODGER MOON DDS, PEORIA, IL 61614(309) 682-2090(309) 682-0903 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Gerald Rodger Moon Dds NPPES

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

DR. GERALD RODGER MOON DDS (NPI 1669516688) is an individual dentist in Peoria, Illinois, licensed in Illinois (19A13409) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1669516688

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. GERALD RODGER MOONCredential: DDS

Location Address2809 W WILLOW KNOLLS RD, G RODGER MOON DDSPeoria, IL 61614

Mailing Address2809 W Willow Knolls Rd, G Rodger Moon DdsPeoria, IL 61614

Phone(309) 682-2090

Fax(309) 682-0903

Sole ProprietorNo

Enumeration DateFebruary 16, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1669516688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 19A13409

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.

2809 W WILLOW KNOLLS RD, Peoria, IL 61614

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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 Gerald Moon's NPI number?

The NPI number for Gerald Moon is 1669516688. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is Gerald Moon located?

Gerald Moon practices at 2809 W Willow Knolls Rd G Rodger Moon Dds, Peoria, IL 61614. The listed phone number is (309) 682-2090.

What is Gerald Moon's specialty?

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

When was this NPI record last updated?

The NPPES record for Gerald Moon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.