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Active NPI 1669516688 Individual Practitioner Male Practitioner

Dr. Gerald Rodger Moon , DDS

Dentist • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Dr. Gerald Moon, DDS is a registered healthcare professional specializing in Dentist in Peoria, IL. Practice services are available at 2809 W WILLOW KNOLLS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2809 W Willow Knolls Rd
G Rodger Moon Dds

Peoria, IL 61614

Telephone 3096822090
Fax 3096820903

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
65 Specialists

Practicing in Peoria, IL (4751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 19A13409

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2809 W WILLOW KNOLLS RD, G RODGER MOON DDS, PEORIA, IL 61614 (Tel: 3096822090)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2809 W WILLOW KNOLLS RD, G RODGER MOON DDS, PEORIA, IL 61614

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GERALD MOON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #19A13409 in IL)

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Initial NPI Registration & Enumeration February 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669516688
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

2809 W Willow Knolls Rd, G Rodger Moon Dds

Peoria, IL 61614

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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.