Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL DERRICK MOODY, DDS
Active Sole ProprietorDR. MICHAEL DERRICK MOODY, DDS is a Oral & Maxillofacial Surgery healthcare provider located in BARTLESVILLE, Oklahoma. NPI 1033204094 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · BARTLESVILLE, OK
Registration Details
- NPI Number
- 1033204094
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2006 (19.886314943572 yrs)
- Last Updated
- Apr 10, 2024
- License
-
7289 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
215 SE HOWARD AVEBARTLESVILLE, OK, 740062204Browse OK providers · Browse ZIP 74006
- Phone
- 9183339155
- Fax
- 9183339142
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in BARTLESVILLE, OK
| Name | Credential | NPI |
|---|---|---|
| DR. CRAIG S COCHRAN | DDS | 1811980170 |
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.