DR. Michael Derrick Moody, DDS

NPI #1033204094 in Bartlesville, Oklahoma

Provider Information

NPI Number
1033204094
Entity Type
Individual
Name
DR. Michael Derrick Moody, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
DDS
Enumeration Date
Oct 4, 2006
Last Updated
Apr 10, 2024

Practice Location

Address
215 SE HOWARD AVE
ZIP Code
74006-2204
Phone
(918) 333-9155

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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