Individual
JOSEPH THOMAS MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2089 WOODRUFF RD, GREENVILLE, SC 29607-5940
(864) 297-6700
(864) 297-6012
Mailing address
2089 WOODRUFF RD, GREENVILLE, SC 29607-5940
(864) 297-6700
(864) 297-6012
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2373
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2373
LICENSE NUMBER
SC
Enumeration date
11/20/2006
Last updated
07/08/2007
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