Edward H Moody Jr Dds Pc in Morristown - Pediatric Dentistry
Edward H Moody Jr Dds Pc - NPI 1740202852
Edward H Moody Jr Dds Pc is a Pediatric Dentistry in Morristown, Tennessee. Edward H Moody Jr Dds Pc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Edward H Moody Jr Dds Pc is 1740202852. The last update date is 2020-08-22.
Edward H Moody Jr Dds Pc's current location address is 920 W Main St, Morristown, Tennessee. You can contact this provider via phone number 4235871421 and fax number 4235876092. The mailing address for Edward H Moody Jr Dds Pc is 920 W Main St, Morristown, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Edward H Moody Jr Dds Pc |
|---|---|
| Address | 920 W Main St, Morristown, Tennessee |
| Phone Number | 4235871421 |
| Fax Number | 4235876092 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Moody Herbert Edward |
| Credentials | DDS |
| Telephone Number | 4235871421 |
NPI Number Detail
| NPI Number | 1740202852 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 920 W Main St |
|---|---|
| City | Morristown |
| State | Tennessee (TN) |
| Post Code | 378144515 |
| Phone Number | 4235871421 |
| Fax Number | 4235876092 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DS4447 |
|
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 Edward H Moody Jr Dds Pc by the Centers for Medicare & Medicaid Services?
The Edward H Moody Jr Dds Pc has been issued the NPI (National Provider Identifier) 1740202852 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Edward H Moody Jr Dds Pc located?
The Edward H Moody Jr Dds Pc is located at 920 W Main St, Morristown, TN 378144515.
What is Edward H Moody Jr Dds Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Edward H Moody Jr Dds Pc's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740202852 to Edward H Moody Jr Dds Pc?
The Centers for Medicare & Medicaid Services originally issued the 1740202852 to Edward H Moody Jr Dds Pc on 2006-07-25.
As of what date was the information pertaining to Edward H Moody Jr Dds Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Edward H Moody Jr Dds Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.