Michael Derrick Moody in Lakewood - Oral & Maxillofacial Surgery

Michael Derrick Moody - NPI 1033204094

Michael Derrick Moody is a Oral & Maxillofacial Surgery in Lakewood, Colorado. Michael Derrick Moody practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for Michael Derrick Moody is 1033204094. The last update date is 2007-07-08.

Michael Derrick Moody's current location address is 9990 W 26th Ave, Lakewood, Colorado. You can contact this provider via phone number 3032324422 and fax number 3032328795. The mailing address for Michael Derrick Moody is 9990 W 26th Ave, Lakewood, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Derrick Moody
Address 9990 W 26th Ave, Lakewood, Colorado
Phone Number 3032324422
Fax Number 3032328795
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1033204094
Provider Enumeration Date 2006-10-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 9990 W 26th Ave
City Lakewood
State Colorado (CO)
Post Code 802151581
Phone Number 3032324422
Fax Number 3032328795

Provider's Primary Taxonomy Detail

Speciality Oral & Maxillofacial Surgery
Taxonomy 204E00000X
Licence No 9166
Definition:
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer

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FAQs about Michael Derrick Moody

What is the unique provider identifier assigned to Michael Derrick Moody?

The Michael Derrick Moody has been issued the NPI (National Provider Identifier) 1033204094 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Michael Derrick Moody's physical address?

The Michael Derrick Moody is physically located at 9990 W 26Th Ave, in the city of Lakewood, CO, with the postal code 802151581.

What is Michael Derrick Moody's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Michael Derrick Moody is Oral & Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 204E00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1033204094 to Michael Derrick Moody?

The Centers for Medicare & Medicaid Services originally issued the 1033204094 to Michael Derrick Moody on 2006-10-04.

When was the Michael Derrick Moody's information last updated?

The Michael Derrick Moody's information was last updated on 2007-07-08.

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