Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY WAYNE MOODY, D.D.S.
Active Sole ProprietorDR. JERRY WAYNE MOODY, D.D.S. is a General Dentistry healthcare provider located in TUMWATER, Washington. NPI 1578780979 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · TUMWATER, WA
Registration Details
- NPI Number
- 1578780979
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2007 (19.285156758941 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DE00006219 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
501 TYEE DR SWTUMWATER, WA, 985127313Browse WA providers · Browse ZIP 98512
- Phone
- 3603525100
- Fax
- 3607051274
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in TUMWATER, WA
| Name | Credential | NPI |
|---|---|---|
| JOHN JUNJI SHINGU | DDS | 1851374862 |
| ADAM PHILIP CRAMER | D.D.S. | 1548273782 |
| ARNE ERIK GUNDERSEN | D.D.S. | 1255413845 |
| YONGQIAN HUANG | DDS, MSD | 1083790588 |
| DR. W D KURZ | D.D.S. | 1376667485 |
| DR. STEVEN L. PAIGE | D.D.S | 1285826537 |
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.