EUN SANG MOON DDS
NPI 1801395538
Dentist - Orthodontics and Dentofacial Orthopedics in Monroe, WA

Active since February 08, 2018
17707 W MAIN ST, MONROE, WA 98272(602) 823-9003(360) 282-3907 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eun Sang Moon Dds NPPES

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

EUN SANG MOON DDS (NPI 1801395538) is an individual orthodontics and dentofacial orthopedics provider in Monroe, Washington, licensed in Washington (DE61330238) and active in the NPI registry since February 2018. He maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1801395538
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameEUN SANG MOONCredential: DDS
Location Address17707 W MAIN STMonroe, WA 98272-1967
Mailing Address85-60ho, Sangbong-dongSeoul, JUNGRANG-GU 02152
Fax(360) 282-3907
Sole ProprietorYes
Enumeration DateFebruary 8, 2018
Last NPPES UpdateAugust 29, 2024
NPPES CertifiedAugust 29, 2024
NPI 1801395538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in WA · DE61330238
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 30.024728 (OH)
17707 W MAIN ST, Monroe, WA 98272

Secondary Practice Location 1

Location 1305 W 12th AveColumbus, OH 43210 · Phone (614) 701-8648

Other Identifiers 1

Medicaid30.024728OH

Accepted Insurance

Other Providers at the Same Location NPPES 10

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

Health Educator
17707 W MAIN ST
MONROE, WA 98272
Nurse Practitioner (Family)
17707 W MAIN ST
MONROE, WA 98272
Dentist (General Practice)
17707 W MAIN ST
MONROE, WA 98272
Nurse Practitioner (Family)
17707 W MAIN ST
MONROE, WA 98272
Nurse Practitioner (Family)
17707 W MAIN ST
MONROE, WA 98272
Dentist
17707 W MAIN ST
MONROE, WA 98272
Nurse Practitioner (Adult Health)
17707 W MAIN ST, 1ST FL
MONROE, WA 98272
Dental Hygienist
17707 W MAIN ST
MONROE, WA 98272

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 Eun Sang Moon's NPI number?

The NPI number for Eun Sang Moon is 1801395538. It was assigned to this individual provider in the NPPES registry on February 8, 2018.

Where is Eun Sang Moon located?

Eun Sang Moon practices at 17707 W Main St, Monroe, WA 98272. The listed phone number is (602) 823-9003.

What is Eun Sang Moon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Eun Sang Moon accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 3 other insurers list Eun Sang 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 Eun Sang Moon was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.