BRENT W. MOODY D.D.S., PC


Address: 4320 Mcauley Blvd, Oklahoma City, OK 73120-8386
Phone: 4057558020

BRENT W. MOODY D.D.S., PC (NPI# 1225202138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225202138
Entity Type Organization
Organization Name BRENT W. MOODY D.D.S., PC
Practice Address 4320 Mcauley Blvd
Oklahoma City
OK 73120-8386
Practice Telephone 4057558020
Mailing Telephone 4057558020
Enumeration Date 2008-04-22
Last Update Date 2008-04-22
Authorized Official Name DR. BRENT W. MOODY (PRESIDENT)
Authorized Official Telephone 4057558020
Authorized Official Credential D.D.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
5120 OK Dental Providers

Office Location

Street Address 4320 MCAULEY BLVD
City OKLAHOMA CITY
State OK
Zip Code 73120-8386

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164410551 Brent Warren Moody Dentist 4320 Mcauley Blvd, Oklahoma City, OK 73120-8364 2005-10-10
1306331194 Eagle Creek Family Dentistry Pllc Clinic/Center 4320 Mcauley Blvd, Oklahoma City, OK 73120-8386 2018-06-25
1104336494 Jennifer Lynne Walker Dentist 4320 Mcauley Blvd, Oklahoma City, OK 73120-8386 2017-10-02
1831473743 Dynamic Dentisty, Pllc Dentist 4320 Mcauley Blvd, Oklahoma City, OK 73120-8386 2011-10-11
1720375223 Jeremy Clark Goodson Dentist 4320 Mcauley Blvd, Oklahoma City, OK 73120 2011-07-05
1235375148 Vernon Matthew Heim Dentist 4320 Mcauley Blvd, Oklahoma City, OK 73120-8386 2008-12-23
1255516035 Robert B. Bryan II, Dds, Pllc Dentist 4320 Mcauley Blvd, Oklahoma City, OK 73120-8386 2007-12-29
1851466379 Robert Bruce Bryan II Dentist 4320 Mcauley Blvd, Oklahoma City, OK 73120-8364 2006-11-21
1811094824 Neil Morgan Glass Dentist 4320 Mcauley Blvd, Oklahoma City, OK 73120-8364 2006-09-20
1922040237 Daniel Steven Scheer Dentist 4320 Mcauley Blvd, Oklahoma City, OK 73120-8364 2006-06-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134768971 Nuvail Medical Services Inc In Home Supportive Care 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 2019-12-26
1134781677 Peak Solutions, LLC Clinic/Center 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 2019-07-05
1992363881 Laura Lynn's Home Care, LLC Home Health 9801 N May Ave, Oklahoma City, OK 73120 2019-06-05
1962992115 Erin Lyn Florer Occupational Therapist 12401 Trail Oak Dr, Oklahoma City, OK 73120 2018-05-14
1780171009 Diabetic Foot and Wound Center of Okfas Podiatrist 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 2018-04-23
1285134387 Motley Vision Professionals, Pllc Eyewear Supplier (Equipment, not the service) 9805 N. May Avenue, Oklahoma City, OK 73120 2018-02-15
1043729700 Jenna Marie Howard Social Worker 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 2017-09-26
1962928895 Susan Chacko Counselor 12000 N Virginia Avenue, Oklahoma City, OK 73120 2017-08-22
1023533262 Farris Ree Stroupe Audiologist 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 2017-08-09
1881116200 Rebekah Danielle Kabariti Counselor 12000 N. Virgnia Ave, Oklahoma City, OK 73120 2017-07-07
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932684297 Jemima Poitevien, D.d.s., P.l.l.c. Dentist 4225 W Memorial Rd Ste 101-b, Oklahoma City, OK 73134-1761 2018-10-02
1093062911 Pediatric Dental Partners Pllc Dentist 5940 Nw Expressway Ste 200, Oklahoma City, OK 73132-5101 2012-08-09
1508023383 Thai-an Doan D.d.s. P.C. Dentist 11318 N May Ave, Suite B, Oklahoma City, OK 73120-5860 2008-05-20
1619162054 Robert Brian Molloy Dentist 9801 S Pennsylvania Ave, Oklahoma City, OK 73159-6925 2007-09-10
1467574004 Smiling Faces Pediatric Dentistry Inc Dentist 5222 N. Portland, Oklahoma City, OK 73112 2007-04-04
1760521934 Elizabeth Kellner Dentist 828 Sw 66th St, Oklahoma City, OK 73139-4213 2007-02-05
1194828558 Thai-an Doan Dentist 14228 Barbour Ave, Oklahoma City, OK 73134 2006-09-07
1780618330 Andrew Cleveland Guthrie Dentist 3616 Nw 50th St, Oklahoma City, OK 73112-5642 2006-07-10
1558318493 Donald Wood Haskins Dentist 5222 N Portland Ave, Oklahoma City, OR 73112 2006-05-27
1720063225 William G Bozalis Dentist 3613 Nw 56th, Suite 105 Three Corporate Plaza, Oklahoma City, OK 73112 2005-12-07
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Competitor

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City OKLAHOMA CITY
Zip Code 73120

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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