Dr. Gerald Rodger Moon
DDS | Dentist
2809 W Willow Knolls Rd, G Rodger Moon Dds, Peoria
Illinois, 61614
309-682-2090 309-682-0903
Maps & DirectionsDr. Gerald Rodger Moon is a Peoria, Illinois based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Gerald Rodger Moon is
19A13409 for Dentistry in Illinois. His current practice location is
2809 W Willow Knolls Rd, G Rodger Moon Dds, Peoria. Patients can reach him at
309-682-2090.
Dr. Gerald Rodger Moon is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Gerald Rodger Moon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Gerald Rodger Moon |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2809 W Willow Knolls Rd, G Rodger Moon Dds, Peoria,
Illinois, 61614 |
| Phone: | 309-682-2090 |
| Fax: | 309-682-0903 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1669516688 |
| NPI Enumeration Date: | 16 Feb, 2007 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gerald Rodger Moon are as mentioned below.
| License Number | Specialization | State | Status | |
| 19A13409 | Dentistry | Illinois | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2809 W Willow Knolls Rd, G Rodger Moon Dds
Peoria, Illinois |
| Zip: | 61614 |
Patients can reach Dr. Gerald Rodger Moon at
2809 W Willow Knolls Rd, G Rodger Moon Dds, Peoria, Illinois or can
call to book an appointment on 309-682-2090.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.