Moody, Brent Warren
Moody, Brent Warren is an individual health care provider with primary practice located at 4320 Mcauley Blvd , Oklahoma City OK 73120-8364. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Moody, Brent Warren can be contacted via phone (405) 755-8020.Contact Information
Primary practice address
4320 Mcauley Blvd
Oklahoma City OK 73120-8364
Phone: (405) 755-8020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 5120 | Oklahoma |
Profile Details
| NPI number | 1164410551 |
|---|---|
| LBN Legal business name | Moody, Brent Warren |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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