Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVAN PAUL MOODY, DDS, MD
Active Sole ProprietorEVAN PAUL MOODY, DDS, MD is a Oral & Maxillofacial Surgery healthcare provider located in JACKSONVILLE, Florida. NPI 1497077523 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1497077523
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 16, 2010 (16.448147176577 yrs)
- Last Updated
- Sep 26, 2023
- License
-
DN25752 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2080 CHILD ST ORAL & MAXILLOFACIAL SURGERY DEPARTMENTJACKSONVILLE, FL, 322142640Browse FL providers · Browse ZIP 32214
- Phone
- 9045427540
- Fax
- 9045427543
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. MARVIN C WELLS | D.M.D. | 1063416055 |
| JAMES EDWARD CHERRY | D.M.D. | 1225021363 |
| DR. MICHAEL LOUIS MIDDLEBROOKS | D.M.D. | 1700879442 |
| DR. ANDREW L SKIGEN | DMD | 1194702316 |
| DR. DENNIS MORRIS MAHAN | D.M.D. | 1952389066 |
| DR. SAMIRA MEYMAND | DDS/MPH | 1629048160 |
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.