Dr. Stacy Jerald Moon , DDS
Dentist • Boise, ID
Professional Overview & Biography Verified Profile Summary
Dr. Stacy Moon, DDS is a registered healthcare professional specializing in Dentist in Boise, ID. Practice services are available at 4266 N EAGLE RD under active NPI credentials.
Practice Location & Contact Primary Location
4266 N Eagle Rd
Boise, ID 837130726
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist in Boise, ID
Practicing in Boise, ID (448 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2023-07-06NUCC Taxonomy Code: 122300000X
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.
Additional State Medicaid & Healthcare Payer Identifiers
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 4266 N EAGLE RD, BOISE, ID 837130726 (Tel: 2089397053)
Registered at 3550 N BROOKSIDE LN, BOISE, ID 837149705 (Tel: 2089081793)
NPI status registered as active in NPPES database
Registered at 6019 N EAGLE ROAD, BOISE, ID 83713 (Tel: 2089397053)
Registered at 5431 N BACH, MERIDIAN, ID 83642 (Tel: 2088957940)
Recorded as STACY MOON, DDS
Dentist (License #D3387 in ID)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3550 N Brookside Ln
Boise, ID 837149705
Phone: 2089081793
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.