person
Justin Moody, DDS
Pediatric Dentist in Salt Lake City, Utah
NPI 1316438310

Justin Moody is a Pediatric Dentist based in Salt Lake City, UT and is specialized in Pediatric Dentistry. Justin Moody practices in Salt Lake City, UT and has the professional credentials of DDS. The NPI Number for Justin Moody is 1316438310 and holds a License No. 10809874-9922 (Utah).

The current practice location address for Justin Moody is 100 N Mario Capecchi Dr, Salt Lake City, UT and can be reached out via phone at 801-663-3900. You can also correspond with Justin Moody through the mailing address at 898 E EMERSON AVE, SALT LAKE CITY, UT - 84105-2219 (mailing address contact number: 801-885-8503).

Location: 100 N Mario Capecchi Dr, Salt Lake City, UT, 84105-2219
person
Provider Profile Details
NPI Number
1316438310
Provider Name
Justin Moody
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
100 N Mario Capecchi Dr, Salt Lake City, UT, 84105-2219
Phone Number
801-663-3900
Fax Number
Provider Enumeration Date
05/24/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 N Mario Capecchi Dr
City
State
Zip
84113-1103
Phone Number
801-663-3900
Fax Number
person
Provider Business Mailing Address Details
Address
898 E Emerson Ave
City
State
Zip
84105-2219
Phone Number
801-885-8503
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
10809874-9922 (Utah)
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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