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Dr. George Terrance Moody, DMD
General Practice Dentistry in Grenada, Mississippi
NPI 1992835151

George Terrance Moody is a General Practice Dentistry based in Grenada, MS and is specialized in General Practice. George Terrance Moody practices in Grenada, MS and has the professional credentials of DMD. The NPI Number for George Terrance Moody is 1992835151 and holds a License No. 2090-84 (Mississippi).

The current practice location address for George Terrance Moody is 1450 Oak St, Grenada, MS and can be reached out via phone at 662-226-0554 and via fax at 662-226-0556.

Location: 1450 Oak St, Grenada, MS, 38902-1004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992835151
Provider Name
George Terrance Moody
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1450 Oak St, Grenada, MS, 38902-1004
Phone Number
662-226-0554
Fax Number
662-226-0556
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00060069 05 MS
institution
Provider Business Practice Location Address Details
Address
1450 Oak St
City
Grenada
State
Mississippi
Zip
38901-4600
Phone Number
662-226-0554
Fax Number
662-226-0556
person
Provider Business Mailing Address Details
Address
1450 Oak St
City
Grenada
State
Mississippi
Zip
38901-4600
Phone Number
662-226-0554
Fax Number
662-226-0556
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2090-84 (Mississippi)
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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