Eun Sang Moon is a Monroe, Washington based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Eun Sang Moon is
DE61330238 for Orthodontics and Dentofacial Orthopedics in Washington. His current practice location is
17707 W Main St, Monroe. Patients can reach him at
602-823-9003.
Eun Sang 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:
Eun Sang 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: | Eun Sang Moon |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 17707 W Main St, Monroe,
Washington, 98272-1967 |
| Phone: | 602-823-9003 |
| Fax: | 360-282-3907 |
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: | 1801395538 |
| NPI Enumeration Date: | 08 Feb, 2018 |
| NPI Last Update On: | 29 Aug, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eun Sang Moon are as mentioned below.
| License Number | Specialization | State | Status | |
| DE61330238 | Orthodontics and Dentofacial Orthopedics | Washington | Primary | |
| 30.024728 | General Practice Dentistry | Ohio | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Eun Sang Moon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 30.024728 | Medicaid | Ohio | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 85-60ho, Sangbong-dong,
Seoul, |
| Zip: | 02152 |
Patients can reach Eun Sang Moon at
17707 W Main St, Monroe, Washington or can
call to book an appointment on 602-823-9003.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.