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Dr. Edward Herbert Moody JR., DDS
Pediatric Dentist in Morristown, Tennessee
NPI 1396769006

Edward Herbert Moody JR. is a Pediatric Dentist based in Morristown, TN and is specialized in Pediatric Dentistry. Edward Herbert Moody JR. practices in Morristown, TN and has the professional credentials of DDS. The NPI Number for Edward Herbert Moody JR. is 1396769006 and holds a License No. DS4447 (Tennessee).

The current practice location address for Edward Herbert Moody JR. is 920 W Main St, Morristown, TN and can be reached out via phone at 423-587-1421 and via fax at 423-587-6092.

Location: 920 W Main St, Morristown, TN, 37814-4515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396769006
Provider Name
Edward Herbert Moody JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
920 W Main St, Morristown, TN, 37814-4515
Phone Number
423-587-1421
Fax Number
423-587-6092
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
920 W Main St
City
Morristown
State
Tennessee
Zip
37814-4515
Phone Number
423-587-1421
Fax Number
423-587-6092
person
Provider Business Mailing Address Details
Address
920 W Main St
City
Morristown
State
Tennessee
Zip
37814-4515
Phone Number
423-587-1421
Fax Number
423-587-6092
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DS4447 (Tennessee)
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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