Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACY RENAE MOODY, DMD
ActiveSTACY RENAE MOODY, DMD is a General Dentistry healthcare provider located in GRANITE CITY, Illinois. NPI 1700984317 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · GRANITE CITY, IL
Registration Details
- NPI Number
- 1700984317
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 20, 2006 (19.896461459787 yrs)
- Last Updated
- Oct 30, 2013
- License
-
019026581 (IL)
Practice Information
- Address
-
3120 MARYVILLE RDGRANITE CITY, IL, 620405189Browse IL providers · Browse ZIP 62040
- Phone
- 6187979940
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in GRANITE CITY, IL
| Name | Credential | NPI |
|---|---|---|
| MARK THOMAS HEWLETT | D.M.D. | 1710955968 |
| DR. PHILIP S VALICOFF | DMD | 1427162247 |
| DR. DAVID ALAN DIAK | DMD | 1134234636 |
| DAVID J DOMBEK | D.M.D. | 1932294212 |
| DR. JAN M MEHELIC | DMD | 1447331129 |
| DR. STEPHEN C ANDERSON | D.D,S | 1396815932 |
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.