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Dr. Michael Derrick Moody, DDS
Oral and Maxillofacial Surgery (Dentist) in Bartlesville, Oklahoma
NPI 1033204094

Michael Derrick Moody is a Oral and Maxillofacial Surgery (Dentist) based in Lakewood, OK and is specialized in Oral and Maxillofacial Surgery. Michael Derrick Moody practices in Bartlesville, OK and has the professional credentials of DDS. The NPI Number for Michael Derrick Moody is 1033204094 and holds a License No. 7289 (Oklahoma).

The current practice location address for Michael Derrick Moody is 215 Se Howard Ave, Bartlesville, OK and can be reached out via phone at 918-333-9155 and via fax at 918-333-9142.

Location: 215 Se Howard Ave, Bartlesville, OK, 80215-1581
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033204094
Provider Name
Michael Derrick Moody
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
215 Se Howard Ave, Bartlesville, OK, 80215-1581
Phone Number
918-333-9155
Fax Number
918-333-9142
Provider Enumeration Date
10/04/2006
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
215 Se Howard Ave
City
Bartlesville
State
Oklahoma
Zip
74006-2204
Phone Number
918-333-9155
Fax Number
918-333-9142
person
Provider Business Mailing Address Details
Address
215 Se Howard Ave
City
Bartlesville
State
Oklahoma
Zip
74006-2204
Phone Number
918-333-9155
Fax Number
918-333-9142
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
7289 (Oklahoma)
Definition
The specialty of dentistry which includes 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.
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