Ellis Moon Orthodontics, Pllc

LBN: Ellis Moon Orthodontics, Pllc
Ellis Moon Orthodontics, Pllc is an health care organization with primary practice located at 2015 Broadway St Suite A, Pearland TX 77581-5698. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Ellis Moon Orthodontics, Pllc can be contacted via phone (281) 485-6003, or through Moon, Audrey via phone (281) 485-6003.

Contact Information

Primary practice address
2015 Broadway St Suite A Pearland TX 77581-5698
Phone: (281) 485-6003
Fax: (281) 485-3376
Website:
Map and Directions
Authorized official contact:
Name: Moon, Audrey D.D.S., M.S.D.
Phone: (281) 485-6003

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 15404 Texas
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 28170 Texas

Profile Details

NPI number 1720526593
LBN Legal business name Ellis Moon Orthodontics, Pllc
DBA Doing business as
Authorized official Moon, Audrey D.D.S., M.S.D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2017
Last updated Feb 1st, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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