Individual provider · Type 1 NPI
Michael Derrick Moody, DDS
Oral and Maxillofacial Surgery (Dentist) · Bartlesville, OK
Practice location
215 SE Howard Ave
Bartlesville, OK 74006-2204
Fax (918) 333-9142
Mailing address
9990 W 26th Ave, Suite 100
Lakewood, CO 80215-1581
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 7289 (OK) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Bartlesville
About NPI 1033204094
Michael Derrick Moody, DDS's National Provider Identifier is 1033204094, issued on Oct 4, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Bartlesville, OK. The record was last updated on Apr 10, 2024.