| R.m. Moody,dds/el Dorado | |
|
122 N Taylor St El Dorado KS 67042-1839 | |
| (316) 320-3636 | |
| (316) 320-3636 |
| Full Name | R.m. Moody,dds/el Dorado |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 122 N Taylor St, El Dorado, Kansas |
| Authorized Official Name and Position | Robert M Moody (OWNER/DENTIST) |
| Authorized Official Contact | 3163203636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R.m. Moody,dds/el Dorado 122 N Taylor St El Dorado KS 67042-1839 Ph: (316) 320-3636 | R.m. Moody,dds/el Dorado 122 N Taylor St El Dorado KS 67042-1839 Ph: (316) 320-3636 |
| NPI Number | 1902098452 |
|---|---|
| Provider Enumeration Date | 08/17/2007 |
| Last Update Date | 08/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902098452 | NPI | - | NPPES |
| 100092550-B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
R2 Center For Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 S Main St, El Dorado, KS 67042 Phone: 316-321-4222 | |
El Dorado Family Dentistry P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 N Main St, El Dorado, KS 67042 Phone: 316-321-0300 Fax: 316-321-1010 | |
El Dorado Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 N Main St, El Dorado, KS 67042 Phone: 316-321-0300 |