Organization
STACY J. MOON DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY JERALD MOON D.D.S. (PRESIDENT)
(208) 939-7053
Entity
Organization
Contact information
Practice address
6019 N EAGLE RD, BOISE, ID 83713-0997
(208) 939-7053
(208) 938-6032
Mailing address
6019 N EAGLE RD, BOISE, ID 83713-0997
(208) 939-7053
(208) 938-6032
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D3387
ID
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us