# JUSTIN MOODY PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Horizon West Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346317757
- **Authorized official:** DR. JUSTIN D MOODY DDS (OWNER)
- **Authorized official phone:** (605) 716-5622

## Contact information

- **Practice address:** 705 FIRST STREET, CRAWFORD, NE 69339-0488
- **Practice address phone:** (308) 665-2025
- **Practice address fax:** (308) 665-1506
- **Mailing address:** PO BOX 488, CRAWFORD, NE 69339-0488
- **Mailing address phone:** (308) 665-2025
- **Mailing address fax:** (308) 665-1506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6124 | NE | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 11/17/2011