Individual
MCKINNA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
134 DAVIS ST, ASHEBORO, NC 27203-5469
(336) 625-3292
Mailing address
PO BOX 306, MAIDEN, NC 28650-0306
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14749
NC
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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