| Mr Stacy Jerald Moon, DDS | |
|
4266 N Eagle Rd, Boise, ID 83713-0726 | |
| (208) 939-7053 | |
| (208) 938-6032 |
| Full Name | Mr Stacy Jerald Moon |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 4266 N Eagle Rd, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881645166 | NPI | - | NPPES |
| 820527796 | Other | ID | IRS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D3387 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Stacy Jerald Moon, DDS 3550 N Brookside Ln, Boise, ID 83714-9705 Ph: (208) 908-1793 | Mr Stacy Jerald Moon, DDS 4266 N Eagle Rd, Boise, ID 83713-0726 Ph: (208) 939-7053 |
Dr. Jace C. Hansen, DMD, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6019 N. Eagle Rd., Boise, ID 83713 Phone: 208-377-2777 Fax: 208-377-3075 | |
Dr. Helen Thu Smith, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8321 W Overland Rd, Boise, ID 83709 Phone: 208-605-3638 | |
Benjamin A Hulbert, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 9733 W Ustick Rd, Boise, ID 83704 Phone: 208-375-8720 | |
Hanna Castleberry, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1175 E Parkcenter Blvd, Boise, ID 83706 Phone: 208-888-5544 | |
Dr. Errol Chandler Fife, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1675 Hill Rd, Boise, ID 83702 Phone: 208-342-3695 Fax: 208-342-4065 | |
Dr. Robert T Peck, DMD Dentist Medicare: Medicare Enrolled Practice Location: 7480 Northview St, Boise, ID 83704 Phone: 208-322-2727 Fax: 208-375-0225 | |
Mr. John Stanley Kriz, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7235 Emerald St, Suite B, Boise, ID 83704 Phone: 208-376-7740 Fax: 208-376-0468 |