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DR. STACEY HYUN JOO MOON D.D.S
NPI 1881093300
Dentist in La Jolla, CA

Active since August 20, 2014
9500 GILMAN DR, LA JOLLA, CA 92093(858) 822-6448 Get Directions Write a Review

NPPES record last updated: February 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Stacey Hyun Joo Moon D.d.s NPPES

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

DR. STACEY HYUN JOO MOON D.D.S (NPI 1881093300) is an individual dentist in La Jolla, California, licensed in California (63692) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1881093300
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. STACEY HYUN JOO MOONCredential: D.D.S
Location Address9500 GILMAN DRLa Jolla, CA 92093-5004
Mailing Address3141 Stevens Creek Blvd # 117San Jose, CA 95117-1141
Phone(858) 822-6448
Sole ProprietorYes
Enumeration DateAugust 20, 2014
Last NPPES UpdateFebruary 8, 2021
NPPES CertifiedFebruary 8, 2021
✔ NPI 1881093300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 63692
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.
9500 GILMAN DR, La Jolla, CA 92093
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Other Providers at the Same Location NPPES 20

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

DR. LEE LE WANG M.D.
Radiology (Diagnostic Radiology)
9500 GILMAN DR
LA JOLLA, CA 92093
San Diego County (858) 534-3880
BONNIE SUSAN OMEARA NP
Nurse Practitioner (Adult Health)
9500 GILMAN DR
LA JOLLA, CA 92093
San Diego County (858) 534-3300
ELKA RUBIN MD
Radiology (Diagnostic Radiology)
9500 GILMAN DR
LA JOLLA, CA 92093
San Diego County (858) 534-2230
DR. ROBERT J PARMER M.D.
Internal Medicine
9500 GILMAN DR, MAIL CODE 9111-H
LA JOLLA, CA 92093
San Diego County (858) 552-8585
ANGELA R ACFALLE NP CNS
Nurse Practitioner (Adult Health)
9500 GILMAN DR, # 0039
LA JOLLA, CA 92093
San Diego County (858) 534-2918
BRITNIE PRIEST MAT, ATC, LAT
Specialist/Technologist (Athletic Trainer)
9500 GILMAN DR, MC0529
LA JOLLA, CA 92093
San Diego County (858) 822-6747
CHRISTOPHER MONGLIN LIU
Orthopaedic Surgery
9500 GILMAN DR
LA JOLLA, CA 92093
San Diego County (571) 721-9812
GLORIA LIN
Student in an Organized Health Care Education/Training Program
9500 GILMAN DR
LA JOLLA, CA 92093
San Diego County (858) 657-8803

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 Stacey Moon's NPI number?

The NPI number for Stacey Moon is 1881093300. It was assigned to this individual provider in the NPPES registry on August 20, 2014.

Where is Stacey Moon located?

Stacey Moon practices at 9500 Gilman Dr, La Jolla, CA 92093. The listed phone number is (858) 822-6448.

What is Stacey 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 Stacey Moon was last updated on February 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.