MARK MOAN (DMD) – General Practice Dentistry, NPI 1992716252

MARK MOAN (DMD) is a healthcare provider. based in Lake saint louis, Missouri. specializing in General Practice Dentistry. They hold the professional credentials DMD. They hold a License No. 2000161564 (MO). The NPI Number for MARK MOAN (DMD) is 1992716252

Main info

Male
Name
MARK MOAN (DMD)
NPI
1992716252
Phone
(636) 949-2587
Address
51 SAYBRIDGE MANOR PKWY
Enumeration Date
11 August 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MARK MOAN (DMD)

  • 51, Saybridge Manor Parkway, Hawk Ridge on the Green, Lake Saint Louis, Saint Charles County, Missouri, 63367, United States

    LAKE SAINT LOUIS, MO 633671806

    Phone: (636) 949-2587

    Type: Mailing

  • 1032 RONDALE CT

    O FALLON, MO 633687368

    Phone: (636) 949-2587

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63367)

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Reviews

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Frequently asked questions

What is the standard ID for MARK MOAN (DMD) in the U.S.?
In the U.S., MARK MOAN (DMD) is identified by NPI 1992716252.
Does the public listing show MARK MOAN (DMD) as active?
MARK MOAN (DMD)'s NPI record reflects an active status in NPPES.
Which specialty label fits MARK MOAN (DMD)?
NPPES ties MARK MOAN (DMD) to General Practice Dentistry in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MARK MOAN (DMD)?
The directory associates MARK MOAN (DMD) with Lake Saint Louis, Missouri. Check all listed addresses for suites or satellite offices.
Can I export MARK MOAN (DMD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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