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Forrest Moudy
General Practice Dentistry in Danville, Arkansas
NPI 1750707097

Forrest Moudy is a General Practice Dentistry based in Danville, AR and is specialized in General Practice. Forrest Moudy practices in Danville, AR. The NPI Number for Forrest Moudy is 1750707097 and holds a License No. 2030 (Arkansas).

The current practice location address for Forrest Moudy is 105 E 10Th St, Danville, AR and can be reached out via phone at 479-495-2115 and via fax at 479-495-2267.

Location: 105 E 10Th St, Danville, AR, 72833-0878
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750707097
Provider Name
Forrest Moudy
Credential
Provider Entity Type
Individual
Gender
Male
Address
105 E 10Th St, Danville, AR, 72833-0878
Phone Number
479-495-2115
Fax Number
479-495-2267
Provider Enumeration Date
03/11/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
106597608 05 AR
institution
Provider Business Practice Location Address Details
Address
105 E 10Th St
City
Danville
State
Arkansas
Zip
72833-0878
Phone Number
479-495-2115
Fax Number
479-495-2267
person
Provider Business Mailing Address Details
Address
105 E 10Th St
City
Danville
State
Arkansas
Zip
72833-0878
Phone Number
479-495-2115
Fax Number
479-495-2267
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2030 (Arkansas)
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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