Individual provider · Type 1 NPI

Jerry Wayne Moody, DDS

General Practice Dentistry · Tumwater, WA

NPI number 1578780979 Active

Practice location

501 Tyee Dr SW
Tumwater, WA 98512-7313

Call (360) 352-5100 Map

Fax (360) 705-1274

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDE00006219 (WA)

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 1578780979

Jerry Wayne Moody, DDS's National Provider Identifier is 1578780979, issued on Apr 19, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Tumwater, WA. The record was last updated on Jul 8, 2007.