Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JON Y. MOODY, DDS
ActiveDR. JON Y. MOODY, DDS is a General Dentistry healthcare provider located in FILLMORE, Utah. NPI 1023025939 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · FILLMORE, UT
Registration Details
- NPI Number
- 1023025939
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2006 (20.045471238457 yrs)
- Last Updated
- Jul 8, 2007
- License
-
02670-0701-7 (UT)
Practice Information
- Address
-
55 S MAIN#3FILLMORE, UT, 84631Browse UT providers · Browse ZIP 84631
- Phone
- 4357436178
- Fax
- 4357436178
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.