Individual
MICHAEL S MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6200 N DURANGO DR STE 100, LAS VEGAS, NV 89149
(702) 660-5574
Mailing address
6200 N DURANGO DR STE 100, LAS VEGAS, NV 89149-3916
(801) 915-4554
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
9433
AZ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
S2-155C
NV
390200000X
Student in an Organized Health Care Education/Training Program
DRP1048
FL
Other
Enumeration date
08/08/2012
Last updated
04/09/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us