Individual
DR. AMY HERRON MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
108 W 10TH AVE, JOHNSON CITY, TN 37604-3800
(423) 979-1800
(423) 979-1802
Mailing address
108 W 10TH AVE, JOHNSON CITY, TN 37604-3800
(423) 979-1800
(423) 979-1802
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401415249
VA
122300000X
Dentist
Primary
10324
TN
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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