Individual provider · Type 1 NPI

Justin Moody, DDS

Pediatric Dentistry · Salt Lake City, UT

NPI number 1316438310 Active

Practice location

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103

Call (801) 663-3900 Map

Mailing address

898 E Emerson Ave
Salt Lake City, UT 84105-2219

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X10809874-9922 (UT)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1316438310

Justin Moody, DDS's National Provider Identifier is 1316438310, issued on May 24, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Salt Lake City, UT. The record was last updated on May 24, 2018.