NPI age
18 years
Enumerated 2007-09-13
● Active Type 2 · Organization
Moon Road Cosmetic & Family Dentistry
Moon Road Cosmetic & Family Dentistry is 1 of 507 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Obebe
Director
Last NPPES update
2007-09-13
Source: monthly bulk 2026-05
How this organization compares
Across 507 active clinic/center providers in Georgia.
NPI age
18 years
↑ 12 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 4% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-09Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
7209 Moon Rd
Columbus, GA 319091798
Mailing address
7209 Moon Rd
Columbus, GA 319091798
Authorized official
Dayo Obebe, DMD
Director
📞 7062433000
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
DentistA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.