Individual provider · Type 1 NPI
Evan Paul Moody, DDS, MD
Oral and Maxillofacial Surgery (Dentist) · Jacksonville, FL
Practice location
2080 Child St Oral & Maxillofacial Surgery Department
Jacksonville, FL 32214-2640
Fax (904) 542-7543
Mailing address
2315 Miller Oaks Dr N
Jacksonville, FL 32217-3507
Other practice locations
- 7909 Normandy Blvd, Jacksonville, FL 32221-6640 · (904) 786-1309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DN25752 (FL) |
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.
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About NPI 1497077523
Evan Paul Moody, DDS, MD's National Provider Identifier is 1497077523, issued on Feb 16, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 26, 2023.