Moonlight Smile Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MOONLIGHT SMILE DENTAL PC

Practice address

3064 Coney Island Ave Ste 1a
Brooklyn, NY 11235-6475

Phone

(718) 975-7364

Fax

(718) 975-7365

NPI assigned

Dec 19, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Hasbani, DDS

Title

Manager

Phone

(718) 339-7773

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daoud Knabimdithasbani, DDS

  • Dentist
  • Bronx, NY
  • NPI 1447232293
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1558909655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3064 CONEY ISLAND AVE STE 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356475",
            "telephone_number": "718-975-7364",
            "fax_number": "718-975-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3064 CONEY ISLAND AVE STE 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356475",
            "telephone_number": "718-975-7364",
            "fax_number": "718-975-7365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "731 Coney Island Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112184288",
            "country_code": "US",
            "telephone_number": "718-339-7773",
            "fax_number": "718-339-7779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOONLIGHT SMILE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "HASBANI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-339-7773",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia Soyoung Moon, DDS
• Holly Jennifer Mooney, M.A CCC-SLP
• Karissa Lynn Mooney, MA, CCC-SLP
• Michael Joseph Mooney, LCSW
• Moonlight Ambulette Services Inc
• Moonwalk Orthotics Inc
• Unni Mooppan, MD
• Emily Mooradian, LMHC
• Madison Justice Moorby
• Jennifer I Moore-Arnold

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.