1. Home
  2. Directory
  3. Minnesota
  4. Richfield
  5. Dental Therapist
  6. NPI Profile

PAMELA D MOON
NPI 1972991552
Dental Therapist in Richfield, MN

Active since January 05, 2015
6600 LYNDALE AVE S, 132, RICHFIELD, MN 55423(612) 243-8999 Get Directions Write a Review

NPPES record last updated: January 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pamela D Moon NPPES

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

PAMELA D MOON (NPI 1972991552) is an individual dental therapist in Richfield, Minnesota, licensed in Minnesota (DT16) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1972991552
Entity TypeIndividualFemale
Primary Taxonomy125J00000X
Provider Legal NamePAMELA D MOON
Location Address6600 LYNDALE AVE S, 132Richfield, MN 55423-3380
Mailing Address6625 Lyndale Ave S, Suite 300Richfield, MN 55423-2373 · (612) 243-8999
Phone(612) 243-8999
Sole ProprietorNo
Enumeration DateJanuary 5, 2015
✔ NPI 1972991552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental TherapistDental Providers
Taxonomy Code125J00000X
License✔ Licensed in MN · DT16
Definition
A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.
6600 LYNDALE AVE S, Richfield, MN 55423
Open in Google Maps ↗

Other Providers at the Same Location NPPES 6

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

MIDWEST PODIATRY CENTERS PLLC
Podiatrist
6600 LYNDALE AVE S, SUITE 150
RICHFIELD, MN 55423
Hennepin County (612) 788-8778
CURANTIS HHC LLC
Home Health
6600 LYNDALE AVE S, SUITE 110
RICHFIELD, MN 55423
Hennepin County (952) 500-8750
MIDWEST FOOT & ANKLE SPECIALISTS, LLC
Podiatrist (Foot & Ankle Surgery)
6600 LYNDALE AVE S, SUITE 130
RICHFIELD, MN 55423
Hennepin County (612) 798-0170
ONSITE PODIATRY, INC.
Podiatrist (Primary Podiatric Medicine)
6600 LYNDALE AVE S, SUITE 130
RICHFIELD, MN 55423
Hennepin County (612) 243-8999
BRENT JAMES LARSON DPM
Podiatrist (Foot & Ankle Surgery)
6600 LYNDALE AVE S
RICHFIELD, MN 55423
Hennepin County (612) 788-8778
DR. MICHAEL B DEBRULE DPM
Podiatrist (Primary Podiatric Medicine)
6600 LYNDALE AVE S, SUITE#130
RICHFIELD, MN 55423
Hennepin County (612) 788-8778

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 Pamela Moon's NPI number?

The NPI number for Pamela Moon is 1972991552. It was assigned to this individual provider in the NPPES registry on January 5, 2015.

Where is Pamela Moon located?

Pamela Moon practices at 6600 Lyndale Ave S 132, Richfield, MN 55423. The listed phone number is (612) 243-8999.

What is Pamela Moon's specialty?

The primary specialty registered for this NPI is Dental Therapist with taxonomy code 125J00000X.

When was this NPI record last updated?

The NPPES record for Pamela Moon was last updated on January 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.