Moon, William A
Moon, William A is an individual health care provider with primary practice located at 1700 Baker Ave East , Haines City FL 33844-4325. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Moon, William A can be contacted via phone (863) 419-3252.Contact Information
Primary practice address
1700 Baker Ave East
Haines City FL 33844-4325
Phone: (863) 419-3252
Fax: (863) 419-3497
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Public Health | 1223D0001X | DN7469 | Florida |
Profile Details
| NPI number | 1154481075 |
|---|---|
| LBN Legal business name | Moon, William A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Feb 26th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154481075 | NPPES |
| Other | DN7469 | LICENSE |
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