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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRENT WARREN MOODY, D.D.S.

Active

DR. BRENT WARREN MOODY, D.D.S. is a Pediatric Dentistry healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1164410551 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · OKLAHOMA CITY, OK

Registration Details

NPI Number
1164410551
Provider Type
Individual
Gender
Male
NPI Issued
Oct 10, 2005 (20.808386513969 yrs)
Last Updated
Jul 8, 2007
License
5120 (OK)

Practice Information

Address
4320 MCAULEY BLVD
OKLAHOMA CITY, OK, 731208364
Browse OK providers · Browse ZIP 73120
Phone
4057558020
Primary Specialty
Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Providers in OKLAHOMA CITY, OK

Name Credential NPI
DR. TIM R FAGAN DDS, MS 1477557452
MR. WILLIAM G BOZALIS DDS MS PC 1720063225
DR. ANDREW CLEVELAND GUTHRIE D.D.S. 1780618330
MS. THAI-AN DOAN DDS, PC 1194828558
KEVIN L. HANEY D.D.S., M.S. 1275608325
DR. DAVID ALAN CIESLA DDS, MS 1174665111
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.