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Stacy Renae Moody, DMD
General Practice Dentistry in Granite City, Illinois
NPI 1700984317

Stacy Renae Moody is a General Practice Dentistry based in Granite City, IL and is specialized in General Practice. Stacy Renae Moody practices in Granite City, IL and has the professional credentials of DMD. The NPI Number for Stacy Renae Moody is 1700984317 and holds a License No. 019026581 (Illinois).

The current practice location address for Stacy Renae Moody is 3120 Maryville Rd, Granite City, IL and can be reached out via phone at 618-797-9940.

Location: 3120 Maryville Rd, Granite City, IL, 62040-5189
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700984317
Provider Name
Stacy Renae Moody
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
3120 Maryville Rd, Granite City, IL, 62040-5189
Phone Number
618-797-9940
Fax Number
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3120 Maryville Rd
City
Granite City
State
Illinois
Zip
62040-5189
Phone Number
618-797-9940
Fax Number
person
Provider Business Mailing Address Details
Address
3120 Maryville Rd
City
Granite City
State
Illinois
Zip
62040-5189
Phone Number
618-797-9940
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019026581 (Illinois)
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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