institution
Brent W. Moody D.d.s., Pc
Pediatric Dentist in Oklahoma City, Oklahoma
NPI 1225202138

Brent W. Moody D.d.s., Pc is a Pediatric Dentist based in Oklahoma City, OK and is specialized in Pediatric Dentistry. Brent W. Moody D.d.s., Pc practices in Oklahoma City, OK. The NPI Number for Brent W. Moody D.d.s., Pc is 1225202138 and holds a License No. 5120 (Oklahoma).

The current practice location address for Brent W. Moody D.d.s., Pc is 4320 Mcauley Blvd, Oklahoma City, OK and can be reached out via phone at 405-755-8020.

Location: 4320 Mcauley Blvd, Oklahoma City, OK, 73120-8386
institution
Provider Profile Details
NPI Number
1225202138
Provider Name
Brent W. Moody D.d.s., Pc
Credential
Provider Entity Type
Organization
Address
4320 Mcauley Blvd, Oklahoma City, OK, 73120-8386
Phone Number
405-755-8020
Fax Number
Provider Enumeration Date
04/22/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4320 Mcauley Blvd
City
State
Zip
73120-8386
Phone Number
405-755-8020
Fax Number
person
Provider Business Mailing Address Details
Address
4320 Mcauley Blvd
City
State
Zip
73120-8386
Phone Number
405-755-8020
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
5120 (Oklahoma)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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