Moody, Dana A

Moody, Dana A is an individual health care provider with primary practice located at 2900 Frank Scott Pkwy West Suite 972A, Belleville IL 62223-5000. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Moody, Dana A can be contacted via phone (618) 277-4388.

Contact Information

Primary practice address
2900 Frank Scott Pkwy West Suite 972A Belleville IL 62223-5000
Phone: (618) 277-4388
Fax: (618) 277-4388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1912073941
LBN Legal business name Moody, Dana A
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Jul 8th, 2007 - about 18 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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