MOON ROAD COSMETIC & FAMILY DENTISTRY
NPI 1790970614
Clinic/Center - Dental in Columbus, GA

Active since September 13, 2007
7209 MOON RD, COLUMBUS, GA 31909(706) 243-3000 Get Directions Write a Review

NPPES record last updated: September 13, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Moon Road Cosmetic & Family Dentistry NPPES

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

MOON ROAD COSMETIC & FAMILY DENTISTRY (NPI 1790970614) is a healthcare organization registered as a dental in Columbus, Georgia and active in the NPI registry since September 2007. The organization lists Dayo Obebe, Director, as its authorized official.

NPPES Registry Identity

NPI1790970614
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMOON ROAD COSMETIC & FAMILY DENTISTRY
Location Address7209 MOON RDColumbus, GA 31909-1798
Mailing Address7209 Moon RdColumbus, GA 31909-1798 · (706) 243-3000
Organization SubpartNo
Authorized OfficialDayo ObebeDirector · (706) 243-3000
Enumeration DateSeptember 13, 2007
NPI 1790970614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in GA · 011235
Also ListedDentistTaxonomy 122300000X · License 011235 (GA)
7209 MOON RD, Columbus, GA 31909

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Moon Road Cosmetic & Family Dentistry's NPI number?

The NPI number for Moon Road Cosmetic & Family Dentistry is 1790970614. It was assigned to this organization in the NPPES registry on September 13, 2007.

Where is Moon Road Cosmetic & Family Dentistry located?

Moon Road Cosmetic & Family Dentistry is located at 7209 Moon Rd, Columbus, GA 31909. The listed phone number is (706) 243-3000.

What is Moon Road Cosmetic & Family Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Moon Road Cosmetic & Family Dentistry was last updated on September 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.