SUE K MOON DDS PC (NPI# 1922345016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922345016 |
| Entity Type | Organization |
| Organization Name | SUE K MOON DDS PC |
| Other Organization Name | CORNERSTONE DENTAL |
| Practice Address |
2 Cardinal Park Dr Se Ste 206a Leesburg VA 20175-4401 |
| Practice Telephone | 7037713389 |
| Practice Fax Number | 7037718242 |
| Mailing Telephone | 7037713389 |
| Mailing Fax Number | 7037718242 |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |
| Authorized Official Name | DR. SUE K MOON (DOCTOR) |
| Authorized Official Telephone | 7037713389 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401410385 | VA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Cornerstone Dental | Doing Business As Name - Organization |
| Street Address |
2 CARDINAL PARK DR SE STE 206A |
| City | LEESBURG |
| State | VA |
| Zip Code | 20175-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033679063 | Warren Joseph Marion | Internal Medicine | 38483 Forest Mills Rd, Leesburg, VA 20175 | 2019-03-25 |
| 1346716925 | Karoline Danielle Seekford | Dentist | 706 S. King St., Suite #5, Leesburg, VA 20175 | 2018-10-22 |
| 1184137242 | K2m, Inc. | Orthopaedic Surgery | K2m, Inc., 600 Hope Parkway Se, Leesburg, VA 20175 | 2017-11-13 |
| 1821511122 | Barsha Baral | Taxi | 651 Tammy Ter Se, Leesburg, VA 20175 | 2017-07-19 |
| 1508316282 | Stefanie Moreno | Social Worker | 914 Rhonda Pl Se, Leesburg, VA 20175 | 2016-10-06 |
| 1164819280 | Hayley Robertson | Behavioral Analyst | 801 Childrens Center Road Sw, Leesburg, VA 20175 | 2015-04-16 |
| 1932597317 | Christine Sauthoff Carter | Speech-Language Pathologist | 212 Wingate Pl Sw, Leesburg, VA 20175 | 2015-01-07 |
| 1174946651 | Sucess By Therapeutic and Educational Play Services | Speech-Language Pathologist | 107 Pheasant Pl Sw, Leesburg, VA 20175 | 2014-02-04 |
| 1790115350 | Ahmed Salem | Behavioral Analyst | 801 Childrens Center Road Sw, Leesburg, VA 20175 | 2013-11-19 |
| 1386077337 | Kathleen Mary Harter | Physical Therapy Assistant | 224-d Cornwall Street, Suite 200, Leesburg, VA 20175 | 2013-08-14 |
| Find all providers in zip 20175 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215585302 | Geovanny Balderas | Dentist | 19340 Promenade Dr, Leesburg, VA 20176-6500 | 2019-08-31 |
| 1346716925 | Karoline Danielle Seekford | Dentist | 706 S. King St., Suite #5, Leesburg, VA 20175 | 2018-10-22 |
| 1558837856 | Bmsk, Pllc | Dentist | 823 S King St Ste E, Leesburg, VA 20175-3920 | 2018-10-15 |
| 1154692408 | Addax Dental Pllc | Dentist | 546 E Market St, Leesburg, VA 20176-4112 | 2012-01-18 |
| 1639446263 | Neibauer Dental Care, PC | Dentist | 1610 Village Market Blvd Se Ste 130, Leesburg, VA 20175-4675 | 2011-11-28 |
| 1992004808 | Payal G. Hanoman | Dentist | 5713 Whisper Pine Dr, Leesburg, FL 34748-1329 | 2011-03-17 |
| 1265699565 | Thomas T Kim | Dentist | 2225 North Citrus Blvd, Leesburg, FL 34748 | 2008-05-22 |
| 1023291424 | Asa Dale Selzer | Dentist | 667 County Road 2421, Leesburg, TX 75451-2291 | 2007-12-10 |
| 1376735431 | Eddie C Orobitg | Dentist | 602 Lee St, Leesburg, FL 34748-5010 | 2007-08-13 |
| 1205044260 | John L. Parker | Dentist | 19 Fort Evans Rd Ne Ste E, Leesburg, VA 20176-4487 | 2007-05-21 |
| Find all providers in LEESBURG | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.