EVAN PAUL MOODY DDS MD NPI 1497077523

NPI Information

Evan Paul Moody, DDS, MD is an oral and maxillofacial surgery dentist in Jacksonville, FL. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Evan Paul Moody, DDS, MD NPI is 1497077523. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2080 CHILD ST ORAL & MAXILLOFACIAL SURGERY DEPARTMENT
JACKSONVILLE, FL
ZIP 32214-640
Phone: (904) 542-7540
Fax: (904) 542-7543

The enumeration date for this NPI number is 2/16/2010 and was last updated on 9/26/2023.

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:

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