Individual
DR. EDWARD HERBERT MOODY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
920 W MAIN ST, MORRISTOWN, TN 37814-4515
(423) 587-1421
(423) 587-6092
Mailing address
920 W MAIN ST, MORRISTOWN, TN 37814-4515
(423) 587-1421
(423) 587-6092
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS4447
TN
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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