Individual provider · Type 1 NPI

John Bryant Moody, DMD

General Practice Dentistry · Louisville, KY

NPI number 1861595100 Active

Practice location

2215 Portland Ave
Louisville, KY 40212-1033

Fax (812) 218-8930

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X5990 (KY)

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 1861595100

John Bryant Moody, DMD's National Provider Identifier is 1861595100, issued on Sep 5, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Louisville, KY. The record was last updated on Jan 18, 2017.