DR. Dana A Moody, DMD
NPI #1912073941 in Belleville, Illinois
Provider Information
- NPI Number
- 1912073941
- Entity Type
- Individual
- Name
- DR. Dana A Moody, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Nov 28, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2900 FRANK SCOTT PKWY WEST
- Address 2
- SUITE 972A
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62223-5000
- Phone
- (618) 277-4388
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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