Mr. Stacy Jerald Moon is a Boise, Idaho based Dentist who is specialized in Dentistry. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. His current practice location is 4266 N Eagle Rd, Boise. Patients can reach him at 208-939-7053.
Mr. Stacy Jerald 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:
Mr. Stacy Jerald 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:
Mr. Stacy Jerald Moon
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
May Accept
Practice Address:
4266 N Eagle Rd, Boise, Idaho, 83713-0726
Phone:
208-939-7053
Fax:
208-938-6032
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.
PAC ID:
8224397658
Enrollment ID:
I20180110002872
NPI Number:
1881645166
NPI Enumeration Date:
12 May, 2006
NPI Last Update On:
06 Jul, 2023
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3550 N Brookside Ln, Boise, Idaho
Zip:
83714-9705
Phone Number:
208-908-1793
Patients can reach Mr. Stacy Jerald Moon at 4266 N Eagle Rd, Boise, Idaho or can call to book an appointment on 208-939-7053. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.