Justin Moody Pc in Crawford - Dentist

Justin Moody Pc - NPI 1346317757

Justin Moody Pc is a Dentist in Crawford, Nebraska. Justin Moody Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Justin Moody Pc is 1346317757. The last update date is 2011-11-17.

Justin Moody Pc's current location address is Po Box 488, Crawford, Nebraska. You can contact this provider via phone number 3086652025 and fax number 3086651506. The mailing address for Justin Moody Pc is Po Box 488, Crawford, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Organization Justin Moody Pc
Address Po Box 488, Crawford, Nebraska
Phone Number 3086652025
Fax Number 3086651506
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Moody D Justin
Credentials DDS
Telephone Number 6057165622

NPI Number Detail

NPI Number 1346317757
Provider Enumeration Date 2006-11-29
Last Updated Date 2011-11-17

Provider Mailing Address Detail

Address Po Box 488
City Crawford
State Nebraska (NE)
Post Code 693390488
Phone Number 3086652025
Fax Number 3086651506

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 6124
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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FAQs about Justin Moody Pc

What is the Justin Moody Pc's 1346317757?

The Justin Moody Pc's NPI (National Provider Identifier) Number is 1346317757. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Justin Moody Pc's facilities are geographically located?

The facilities of Justin Moody Pc are physically situated at the following location: Po Box 488, Crawford, NE, 693390488.

What is Justin Moody Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Justin Moody Pc's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

On what date was the 1346317757 assigned to Justin Moody Pc?

The Justin Moody Pc was issued its 1346317757 on 2006-11-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Justin Moody Pc most recently updated?

The details pertaining to the Justin Moody Pc, including its address, specialty, and other relevant information, were last refreshed on 2011-11-17.

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