NPI 1093799819

Carolyn S Moody, DMD

Practitioner Pediatric Dentistry Danville, KY

Practice location

Address: 303 S 4th St Suite 200, Danville, KY 40422-2004
Phone: (859) 236-8448
Fax: (859) 239-8909

Registered specialties (2)

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X Licence 5693 (KY)

Other Dentist providers in Kentucky →

Dentist

Dental Providers Taxonomy 122300000X Licence 5693 (KY)

Registry record

NPI: 1093799819
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Dec 2005
Record last updated: 9 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.