Carolyn S Moody in Danville - Pediatric Dentistry
Carolyn S Moody - NPI 1093799819
Carolyn S Moody is a Pediatric Dentistry in Danville, Kentucky. Carolyn S Moody practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Carolyn S Moody is 1093799819. The last update date is 2014-01-09.
Carolyn S Moody's current location address is 303 S 4th St, Danville, Kentucky. You can contact this provider via phone number 8592368448 and fax number 8592398909. The mailing address for Carolyn S Moody is 303 S 4th St, Danville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn S Moody |
|---|---|
| Address | 303 S 4th St, Danville, Kentucky |
| Phone Number | 8592368448 |
| Fax Number | 8592398909 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1093799819 |
|---|---|
| Provider Enumeration Date | 2005-12-05 |
| Last Updated Date | 2014-01-09 |
Provider Mailing Address Detail
| Address | 303 S 4th St |
|---|---|
| City | Danville |
| State | Kentucky (KY) |
| Post Code | 404222004 |
| Phone Number | 8592368448 |
| Fax Number | 8592398909 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 5693 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 45601101 | KY | -- | |
| 60056934 | KY | -- |
Post Comment/ Review Below
What is the Carolyn S Moody's unique identification number?
The Carolyn S Moody has been assigned the NPI (National Provider Identifier) Number 1093799819 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Carolyn S Moody's physical address?
The Carolyn S Moody is physically located at 303 S 4Th St, in the city of Danville, KY, with the postal code 404222004.
What is the Carolyn S Moody's area of specialization and corresponding taxonomy classification?
The Carolyn S Moody's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1093799819 to Carolyn S Moody?
The Centers for Medicare & Medicaid Services assigned the 1093799819 to Carolyn S Moody on 2005-12-05.
When was the information regarding Carolyn S Moody, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Carolyn S Moody, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-01-09.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN