Individual
DR. YOUNG JIN MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
500 LENTZ DR, SUITE 60, MADISON, TN 37115-5135
(615) 612-1740
(615) 612-1751
Mailing address
500 LENTZ DR, SUITE 60, MADISON, TN 37115-5135
(615) 612-1740
(615) 612-1751
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8705
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q018593
—
TN
Enumeration date
06/25/2007
Last updated
10/23/2025
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