SearchIndianaGeneral Practice Dentistry

Bradley Moon

NPI 1326811167 · on the registry since 2023

Practice

Address
8602 E 10th St
Indianapolis, IN 46219
Phone
(309) 269-0390
Organisation at this address
Mark M Farthing Dds
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana