Organization · Type 2 NPI

Edward H Moody JR DDS PC

Pediatric Dentistry · Morristown, TN

NPI number 1740202852 Active

Practice location

920 W Main St
Morristown, TN 37814-4515

Fax (423) 587-6092

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDS4447 (TN)

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 1740202852

Edward H Moody JR DDS PC's National Provider Identifier is 1740202852, issued on Jul 25, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Morristown, TN. The record was last updated on Aug 22, 2020.