Doctor profile · Federal record
Dr. Eun Sang Moon, DDS
Orthodontics and Dentofacial Orthopedic Dentist · General Practice Dentistry · Monroe, WA
- NPI 1801395538
- 8 yrs on file
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
17707 W Main St
Monroe, WA 982721967
(602) 823-9003
fax (360) 282-3907 - Additional location
-
305 W 12Th Ave
Columbus, OH 43210
(614) 701-8648 - Mailing address
-
85-60Ho, Sangbong-Dong
Seoul, JU 02152
Credentials & registration
- NPI registered
- February 2018 — 8 yrs on file
- Profile last updated
- August 29, 2024
- Specialty taxonomy
- 1223X0400X — NUCC code
- State licenses (2)
- Washington #DE61330238 · Ohio #30.024728
- Medicaid
- OH #30.024728
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1801395538. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$767
Transactions
6
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Benco Dental Supply Co. | 3 | $737.37 | |
| American Orthodontics Corporation | 2 | $21.63 | |
| Ultradent Products Inc | 1 | $7.54 |
By nature of payment
Frequently asked questions
What is Dr. Eun Sang Moon's medical specialty?
Dr. Eun Sang Moon practices Orthodontics and Dentofacial Orthopedic Dentist in Monroe, WA.
Where does Dr. Eun Sang Moon practice?
Dr. Eun Sang Moon practices at 17707 W Main St, Monroe, WA 982721967. Office phone: 6028239003.
What is Dr. Eun Sang Moon's NPI?
Dr. Eun Sang Moon's National Provider Identifier (NPI) is 1801395538, issued by NPPES.