Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336871995 Individual Practitioner Male Practitioner

Dr. Michael Moon , DDS

Dentist - General Practice • Sulphur, OK

Professional Overview & Biography Verified Profile Summary

Dr. Michael Moon, DDS is a registered healthcare professional specializing in Dentist - General Practice in Sulphur, OK. Practice services are available at 2611 W BROADWAY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2611 W Broadway Ave

Sulphur, OK 730866518

Telephone 5806226655
Associated Practice Facility / Clinic
🏢 Sulphur Dentistry & Braces Facility NPI 1730679606

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Sulphur, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
4 Specialists

Practicing in Sulphur, OK (1496 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

CMS Verified: 2022-06-27
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OK 7615

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Margaret Coker , DDS

Dentist - General Practice

NPI 1679516553

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 30, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2022

Registered at 2611 W BROADWAY AVE, SULPHUR, OK 730866518 (Tel: 5806226655)

📍
Updated Business Mailing Address June 30, 2022

Registered at 2222 CLOVERLEAF PL, ARDMORE, OK 734013421 (Tel: 2147139759)

👤
Provider Name / Credentials Updated June 30, 2022

Recorded as MICHAEL MOON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2022

Dentist (License #7615 in OK)

🟢
Initial NPI Registration & Enumeration June 30, 2022

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: 1336871995
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2022
Last Update: June 30, 2022
Sole Proprietor: No

Mailing Address

2222 Cloverleaf Pl

Ardmore, OK 734013421

Phone: 2147139759

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.