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DAVID MOODY DENTAL CORPORATION NPI 1871192484


NPI Information

NPI: 1871192484
Provider Name: DAVID MOODY DENTAL CORPORATION
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
19737 W VALLEY BLVD
TEHACHAPI, CA
ZIP 93561
Phone: (661) 823-7644
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DAVID MOODY DENTAL CORPORATION is a general practice dentist in Tehachapi, CA. 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. DAVID MOODY DENTAL CORPORATION NPI is 1871192484. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19737 W VALLEY BLVD
TEHACHAPI, CA
ZIP 93561-601
Phone: (661) 823-7644
Fax: (661) 823-8561

The provider's authorized official is David Gale Moody .
The authorized official title is Owner/ Dentist and has the following contact phone number (661) 823-7644.

The enumeration date for this NPI number is 10/23/2020 and was last updated on 10/23/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

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: 4/28/2024

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