EVAN MOODY, DDS, MD
Dentist - Oral and Maxillofacial Surgery
Active
Individual
NPI: 1497077523
Practice Address
2080 CHILD ST ORAL & MAXILLOFACIAL SURGERY DEPARTMENTJacksonville, FL 32214
Phone: (904) 542-7540
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Oral and Maxillofacial Surgery | 1223S0112X | Yes | DN25752 (FL) |
Frequently Asked Questions
NPI 1497077523 is the National Provider Identifier for EVAN MOODY, DDS, MD, a Dentist - Oral and Maxillofacial Surgery provider located in Jacksonville, FL. This NPI was enumerated on February 16, 2010.
EVAN MOODY, DDS, MD practices at 2080 CHILD ST ORAL & MAXILLOFACIAL SURGERY DEPARTMENT, Jacksonville, FL 32214.
Quick Facts
- NPI
- 1497077523
- Type
- Individual
- Enumerated
- Feb 16, 2010
- Last Updated
- Sep 26, 2023
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