Individual provider · Type 1 NPI

John A. Moody, DDS

General Practice Dentistry · Rockford, IL

NPI number 1457411522 Active

Practice location

4040 Morsay Dr
Rockford, IL 61107-4851

Fax (815) 399-0895

Mailing address

10121 Briarwood Ct
Belvidere, IL 61008-8581

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X19024011 (IL)

General Practice Dentistry: 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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About NPI 1457411522

John A. Moody, DDS's National Provider Identifier is 1457411522, issued on Dec 11, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Rockford, IL. The record was last updated on Jul 8, 2007.