Matthew E Moudy is a Dentist in Cabot, Arkansas. Matthew E Moudy practices all healthcare services and medical treatments related to Dentist. The NPI Number for Matthew E Moudy is 1750448114. The last update date is 2017-02-01.
Matthew E Moudy's current location address is 12 Marlou Drive, Cabot, Arkansas. You can contact this provider via phone number 5016285555 and fax number 5016285556. The mailing address for Matthew E Moudy is 12 Marlou Drive, Cabot, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew E Moudy |
|---|---|
| Address | 12 Marlou Drive, Cabot, Arkansas |
| Phone Number | 5016285555 |
| Fax Number | 5016285556 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1750448114 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2017-02-01 |
Provider Mailing Address Detail
| Address | 12 Marlou Drive |
|---|---|
| City | Cabot |
| State | Arkansas (AR) |
| Post Code | 72023 |
| Phone Number | 5016285555 |
| Fax Number | 5016285556 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 3470 |
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Definition: A 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 degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 158956608 | AR | -- |
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What is the unique 10-digit identifier code issued to Matthew E Moudy by the Centers for Medicare & Medicaid Services?
The Matthew E Moudy has been assigned the NPI (National Provider Identifier) 1750448114 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Matthew E Moudy located?
The Matthew E Moudy is located at 12 Marlou Drive, Cabot, AR 72023.
What is Matthew E Moudy's area of expertise and its corresponding taxonomy classification?
The Matthew E Moudy's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
When was the Matthew E Moudy's 1750448114 issued?
The Matthew E Moudy's 1750448114 was issued on 2007-01-03.
When was the information pertaining to Matthew E Moudy most recently updated or revised?
The details related to Matthew E Moudy, including its address, specialty, and other relevant information, were last updated or revised on 2017-02-01.