person
Mr. Robert Michael Moody, DDS
General Practice Dentistry in Eureka, Kansas
NPI 1598767345

Robert Michael Moody is a General Practice Dentistry based in Eureka, KS and is specialized in General Practice. Robert Michael Moody practices in Eureka, KS and has the professional credentials of DDS. The NPI Number for Robert Michael Moody is 1598767345 and holds a License No. 5279 (Kansas).

The current practice location address for Robert Michael Moody is 302 W 3Rd St, Eureka, KS and can be reached out via phone at 620-583-7489 and via fax at 620-583-7489.

Location: 302 W 3Rd St, Eureka, KS, 67045-1404
person
Provider Profile Details
NPI Number
1598767345
Provider Name
Robert Michael Moody
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
302 W 3Rd St, Eureka, KS, 67045-1404
Phone Number
620-583-7489
Fax Number
620-583-7489
Provider Enumeration Date
08/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100092550-A 05 KS
BCBS 01 KS 05983
institution
Provider Business Practice Location Address Details
Address
302 W 3Rd St
City
State
Zip
67045-1404
Phone Number
620-583-7489
Fax Number
620-583-7489
person
Provider Business Mailing Address Details
Address
302 W 3Rd St
City
State
Zip
67045-1404
Phone Number
620-583-7489
Fax Number
620-583-7489
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
5279 (Kansas)
Definition
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.
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