Organization
NEW HORIZON INSTITUTE, INC.
Active
Other names
New Horizon Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN D MOODY DDS (OWNER)
(605) 716-5622
Entity
Organization
Contact information
Practice address
6200 S MCCLINTOCK DR STE 111, TEMPE, AZ 85283-3449
(480) 664-2270
Mailing address
705 COLUMBUS ST, RAPID CITY, SD 57701-3623
(605) 716-5622
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467981332
INDIVIDUAL NPI
—
01
—
1720396484
INDIVIDUAL NPI
—
Enumeration date
07/09/2018
Last updated
07/09/2018
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