Stacy Renae Moody, DMD
NPI #1700984317 in Granite City, Illinois
Provider Information
- NPI Number
- 1700984317
- Entity Type
- Individual
- Name
- Stacy Renae Moody, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Oct 30, 2013
Practice Location
- Address
- 3120 MARYVILLE RD
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040-5189
- Phone
- (618) 797-9940
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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