Moody, Justin
Moody, Justin is an sole proprietor health care provider with primary practice located at 100 N Mario Capecchi Dr , Salt Lake City UT 84113-1103. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Moody, Justin can be contacted via phone (801) 663-3900.Contact Information
Primary practice address
100 N Mario Capecchi Dr
Salt Lake City UT 84113-1103
Phone: (801) 663-3900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 10809874-9922 | Utah |
Profile Details
| NPI number | 1316438310 |
|---|---|
| LBN Legal business name | Moody, Justin |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2018 |
| Last updated | May 24th, 2018 - about 7 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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