Forrest L Moudy Dds | |
105 E 10th St Danville AR 72833-0878 | |
(479) 495-2115 | |
(479) 495-2267 |
Full Name | Forrest L Moudy Dds |
---|---|
Speciality | Dentist - General Practice |
Location | 105 E 10th St, Danville, Arkansas |
Authorized Official Name and Position | Forrest L Moudy (PRESIDENT) |
Authorized Official Contact | 4794952115 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Forrest L Moudy Dds Po Box 878 Danville AR 72833-0878 Ph: (479) 495-2115 | Forrest L Moudy Dds 105 E 10th St Danville AR 72833-0878 Ph: (479) 495-2115 |
NPI Number | 1437256948 |
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Provider Enumeration Date | 09/19/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437256948 | NPI | - | NPPES |
58359 | Other | AR | BLUE CROSS BLUE SHIELD |
846563 | Other | AR | UNITED CONCORDIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2030 (Arkansas) | Primary |