Individual provider · Type 1 NPI

Briana Moody, DDS

Pediatric Dentistry · St. Louis, MO

NPI number 1366900680 Active

Practice location

1 Childrens Pl # LS-2
St. Louis, MO 63110-1002

Fax (314) 454-4006

Mailing address

840 N 17th St
Milwaukee, WI 53233-3303

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X2021018777 (MO)

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 1366900680

Briana Moody, DDS's National Provider Identifier is 1366900680, issued on Mar 5, 2019. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in St. Louis, MO. The record was last updated on May 1, 2023.