Individual
DR. DENNIS MICHAEL MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7341 EISENHOWER DR, YOUNGSTOWN, OH 44512-5900
(330) 726-1152
(330) 758-7845
Mailing address
7341 EISENHOWER DR, YOUNGSTOWN, OH 44512-5900
(330) 726-1152
(330) 758-7845
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.015484
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
341290190
T.I.N.
—
Enumeration date
05/04/2007
Last updated
07/08/2007
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