Individual
ANNABELLA TERRAH MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6840 SILVERHEEL ST, SHAWNEE, KS 66226-5300
(913) 322-6455
Mailing address
8008 BROCKWAY ST, LENEXA, KS 66220-9610
(620) 687-3508
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62405
KS
Other
Enumeration date
07/01/2026
Last updated
07/08/2026
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