FORREST L MOUDY DDS PA INC NPI 1437256948

NPI Information

  • NPI: 1437256948
  • Provider Name: FORREST L MOUDY DDS PA INC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Other Name: FORREST L MOUDY DDS
  • Address: 105 E 10TH ST
    DANVILLE, AR
    ZIP 72833
  • Phone: (479) 495-2115

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NPI Details

FORREST L MOUDY DDS PA INC is a general practice dentist in Danville, AR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. FORREST L MOUDY DDS PA INC NPI is 1437256948. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Forrest L Moudy Dds.

The provider's business location address is:

105 E 10TH ST
DANVILLE, AR
ZIP 72833-878
Phone: (479) 495-2115
Fax: (479) 495-2267

The provider's authorized official is Forrest L Moudy .
The authorized official title is President and has the following contact phone number (479) 495-2115.

The enumeration date for this NPI number is 9/19/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice2030ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1846563OTHERARKANSASUNITED CONCORDIA
258359OTHERARKANSASBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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