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MOODY DENTAL IMPLANT CENTERS LLC NPI 1649556978


NPI Information

NPI: 1649556978
Provider Name: MOODY DENTAL IMPLANT CENTERS LLC

Other Name: THE DENTAL IMPLANT CENTER

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
705 COLUMBUS ST
RAPID CITY, SD
ZIP 57701
Phone: (605) 716-5622
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MOODY DENTAL IMPLANT CENTERS LLC is a general practice dentist in Rapid City, SD. 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. MOODY DENTAL IMPLANT CENTERS LLC NPI is 1649556978. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is The Dental Implant Center.

The provider's business location address is:

705 COLUMBUS ST
RAPID CITY, SD
ZIP 57701-623
Phone: (605) 716-5622
Fax: (605) 791-2982

The provider's authorized official is Justin D Moody .
The authorized official title is Owner and has the following contact phone number (605) 716-5622.

The enumeration date for this NPI number is 11/1/2011 and was last updated on 9/22/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeM881SOUTH DAKOTAYes

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: 11/14/2023

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