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

MOODY DENTAL LLC

Active Organization

MOODY DENTAL LLC is a Dentist organization located in CEDAR LAKE, Indiana. NPI 1396110508 is currently active in the NPPES registry. Verify at CMS.

Dentist · CEDAR LAKE, IN

Registration Details

NPI Number
1396110508
Provider Type
Organization
NPI Issued
Dec 14, 2015 (10.656957350083 yrs)
Last Updated
Dec 14, 2015
License
12011396A (IN)

Practice Information

Address
13955 MORSE ST
CEDAR LAKE, IN, 463039639
Browse IN providers · Browse ZIP 46303
Phone
2193745591
Fax
2193745592
Primary Specialty
Dentist
122300000X

Other Dentist Organizations in CEDAR LAKE, IN

Name NPI
DETAILED DENTAL 1215267661
CEDAR LAKE DENTAL, INC. 1538956750
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.