Brent W. Moody D.D.S., Pc in Oklahoma City - Pediatric Dentistry
Brent W. Moody D.D.S., Pc - NPI 1225202138
Brent W. Moody D.D.S., Pc is a Pediatric Dentistry in Oklahoma City, Oklahoma. Brent W. Moody D.D.S., Pc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Brent W. Moody D.D.S., Pc is 1225202138. The last update date is 2008-04-22.
Brent W. Moody D.D.S., Pc's current location address is 4320 Mcauley Blvd, Oklahoma City, Oklahoma. You can contact this provider via phone number 4057558020. The mailing address for Brent W. Moody D.D.S., Pc is 4320 Mcauley Blvd, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brent W. Moody D.D.S., Pc |
|---|---|
| Address | 4320 Mcauley Blvd, Oklahoma City, Oklahoma |
| Phone Number | 4057558020 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Moody W. Brent |
| Credentials | D.D.S. |
| Telephone Number | 4057558020 |
NPI Number Detail
| NPI Number | 1225202138 |
|---|---|
| Provider Enumeration Date | 2008-04-22 |
| Last Updated Date | 2008-04-22 |
Provider Mailing Address Detail
| Address | 4320 Mcauley Blvd |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731208386 |
| Phone Number | 4057558020 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 5120 |
|
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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Brent W. Moody D.D.S., Pc by the Centers for Medicare & Medicaid Services?
The Brent W. Moody D.D.S., Pc has been issued the NPI (National Provider Identifier) 1225202138 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Brent W. Moody D.D.S., Pc is geographically located?
The Brent W. Moody D.D.S., Pc is physically situated at the following location: 4320 Mcauley Blvd, Oklahoma City, OK, 731208386.
What is Brent W. Moody D.D.S., Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brent W. Moody D.D.S., Pc is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
On what date was the 1225202138 assigned to Brent W. Moody D.D.S., Pc?
The Brent W. Moody D.D.S., Pc was issued its 1225202138 on 2008-04-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Brent W. Moody D.D.S., Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Brent W. Moody D.D.S., Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-22.