Individual provider · Type 1 NPI

Beau G. Moody, DMD

Dentist · Edwardsville, IL

NPI number 1780917823 Active

Practice location

1811 Lindenwood Ave
Edwardsville, IL 62025-2580

Other practice locations

  • 212 E Market St, Troy, IL 62294-1512 · (618) 667-6101

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019.028093 (IL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

4 other providers at this address

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About NPI 1780917823

Beau G. Moody, DMD's National Provider Identifier is 1780917823, issued on Sep 8, 2009. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Edwardsville, IL. The record was last updated on Jun 15, 2021.