Individual provider · Type 1 NPI
Charon Moody, RDHAP
Advanced Practice Dental Therapist · Carson, CA
Practice location
727 E Holborn Dr
Carson, CA 90746-2328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Advanced Practice Dental Therapist Primary | 125K00000X | 723 (CA) |
Advanced Practice Dental Therapist: An Advanced Practice Dental Therapist is:<br/>(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or<br/>(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability f…
About NPI 1558828160
Charon Moody, RDHAP's National Provider Identifier is 1558828160, issued on Mar 1, 2019. The primary taxonomy on file is Advanced Practice Dental Therapist (125K00000X), and the practice location is in Carson, CA. The record was last updated on Mar 1, 2019.