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DR. JACKLYN J MOON DDS
NPI 1811622350
Dentist in Milwaukee, WI

Active since July 19, 2022
205 E WISCONSIN AVE, MILWAUKEE, WI 53202(414) 778-3600 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacklyn J Moon Dds NPPES

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

DR. JACKLYN J MOON DDS (NPI 1811622350) is an individual dentist in Milwaukee, Wisconsin, licensed in Wisconsin (6000049-15) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1811622350
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. JACKLYN J MOONCredential: DDS
Location Address205 E WISCONSIN AVEMilwaukee, WI 53202-4207
Mailing Address706 E Juneau Ave Apt 3Milwaukee, WI 53202-3520
Phone(414) 778-3600
Sole ProprietorNo
Enumeration DateJuly 19, 2022
NPPES CertifiedJuly 19, 2022
✔ NPI 1811622350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WI · 6000049-15
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.
205 E WISCONSIN AVE, Milwaukee, WI 53202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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.

JASDEV SINGH
Dentist
205 E WISCONSIN AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 778-3600
NATHANIEL ANTHONY STRIGENZ
Dentist (General Practice)
205 E WISCONSIN AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 778-3600
DR. RICHARD PARK DDS
Dentist (General Practice)
205 E WISCONSIN AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 778-3600
DR. CHARLES GIRARD LENARDUZZI DDS
Dentist (General Practice)
205 E WISCONSIN AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 778-3600

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 Jacklyn Moon's NPI number?

The NPI number for Jacklyn Moon is 1811622350. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Where is Jacklyn Moon located?

Jacklyn Moon practices at 205 E Wisconsin Ave, Milwaukee, WI 53202. The listed phone number is (414) 778-3600.

What is Jacklyn Moon's specialty?

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

What insurance does Jacklyn Moon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 12 other insurers list Jacklyn 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 Jacklyn Moon was last updated on July 19, 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.