Dental Office Of Moody Inc | |
2323 Moody Pkwy Moody AL 35004-3012 | |
(205) 640-1717 | |
(205) 640-4902 |
Full Name | Dental Office Of Moody Inc |
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Speciality | Dentist |
Location | 2323 Moody Pkwy, Moody, Alabama |
Authorized Official Name and Position | Henry G. Swicord (OWNER) |
Authorized Official Contact | 2056401717 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental Office Of Moody Inc 2323 Moody Pkwy Moody AL 35004-3012 Ph: (205) 640-1717 | Dental Office Of Moody Inc 2323 Moody Pkwy Moody AL 35004-3012 Ph: (205) 640-1717 |
NPI Number | 1649654278 |
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Provider Enumeration Date | 07/14/2015 |
Last Update Date | 07/14/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649654278 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 4051 (Alabama) | Primary |
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