EDWARD H MOODY JR DDS PC (NPI# 1740202852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740202852 |
| Entity Type | Organization |
| Organization Name | EDWARD H MOODY JR DDS PC |
| Practice Address |
920 W Main St Morristown TN 37814-4515 |
| Practice Telephone | 4235871421 |
| Practice Fax Number | 4235876092 |
| Mailing Telephone | 4235871421 |
| Mailing Fax Number | 4235876092 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. EDWARD HERBERT MOODY JR. (PRESIDENT) |
| Authorized Official Telephone | 4235871421 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DS4447 | TN | Dental Providers |
| Street Address |
920 W MAIN ST |
| City | MORRISTOWN |
| State | TN |
| Zip Code | 37814-4515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396769006 | Edward Herbert Moody Jr. | Dentist | 920 W Main St, Morristown, TN 37814-4515 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700357035 | Morristown Heart, Pllc | Internal Medicine | Morristown Heart, Pllc, 735 Mcfarland Street, Morristown, TN 37814 | 2018-12-16 |
| 1669942207 | Amanda Madeline Still | Case Manager/Care Coordinator | 310 West Third North Street, Morristown, TN 37814 | 2018-11-27 |
| 1750858353 | April Caroline Lankford | Case Manager/Care Coordinator | 310 W 3rd North Street, Morristown, TN 37814 | 2018-11-01 |
| 1588165112 | Cara Victoria Jill Mcmahan | Registered Nurse | 310 W 3rd N Street, Morristown, TN 37814 | 2018-02-28 |
| 1770084303 | Janine Barnett | Case Manager/Care Coordinator | 210 W. 3rd North Street, Morristown, TN 37814 | 2018-02-28 |
| 1831616655 | Genoa Healthcare, LLC | Pharmacy | 310 W 3rd North St Ste Pharm, Morristown, TN 37814 | 2017-08-23 |
| 1124542113 | Jenny Lothamer Withem | Speech-Language Pathologist | 6205 Wintergreen Rd, Morristown, TN 37814 | 2017-08-01 |
| 1568998011 | Urgent Care LLC Dba This Visit | Clinic/Center | 2261 Sandstone Drive, Morristown, TN 37814 | 2017-05-03 |
| 1225587157 | Urgent Care LLC Dba This Visit | Clinic/Center | 2261 Sandstone Dr., Morristown, TN 37814 | 2016-10-04 |
| 1225406317 | Alps Adult Day Services | Clinic/Center | 600 N. Daisy St., Morristown, TN 37814 | 2015-09-08 |
| Find all providers in zip 37814 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851448138 | Archana Devi | Dentist | 95 Madison Ave Ste A08, Morristown, NJ 07960-7365 | 2007-01-05 |
| 1073526950 | James David Crossley | Dentist | 950 W 1st North St, Morristown, TN 37814-4550 | 2006-08-14 |
| 1619238292 | Aleighia M Barker, Dmd, Ms, LLC | Dentist | 950 W 1st North St, Morristown, TN 37814-4550 | 2012-05-31 |
| 1013148964 | Aleighia Barker Helderman | Dentist | 950 W 1st North St, Morristown, TN 37814-4550 | 2009-07-27 |
| 1609911841 | Melvin Joseph Miller | Dentist | 290 Madison Avenue, Morristown, NJ 07960-7401 | 2007-02-21 |
| 1730236993 | Lisset - Penton | Dentist | 95 Madison Ave, Morristown, NJ 07960-6092 | 2007-01-03 |
| 1396769006 | Edward Herbert Moody Jr. | Dentist | 920 W Main St, Morristown, TN 37814-4515 | 2006-07-26 |
| 1679568588 | Suzy Harrison Press | Dentist | 95 Madison Ave, Suite A08, Morristown, NJ 07960-6092 | 2005-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879271 | Knoxville Pediatric Dentistry, Pllc | Dentist | 2944 Tazewell Pike Ste 1, Knoxville, TN 37918-1990 | 2020-10-24 |
| 1649886961 | Happy Teeth Pediatric Dentistry | Dentist | 129 Commons Dr, Martin, TN 38237-3882 | 2020-09-22 |
| 1144844879 | Dandridge Pediatric Dentistry | Dentist | 117 E Price Rd, Dandridge, TN 37725-4513 | 2020-05-28 |
| 1831711415 | Nashville Pediatric Dentistry | Dentist | 130 Seaboard Ln Ste A1, Franklin, TN 37067-8221 | 2020-05-18 |
| 1326685132 | East Nashville Pediatric Dentistry, Pllc | Dentist | 1077 E Trinity Ln Ste 104, Nashville, TN 37216-3067 | 2019-11-30 |
| 1285279836 | Lebanon Pediatric Dentistry, LLC | Dentist | 920 S Hartmann Dr, Lebanon, TN 37090-4018 | 2019-11-07 |
| 1225686157 | Brentwood Pediatric Dentistry Maryland Farms, Pllc | Dentist | 5109 Peter Taylor Park Dr Ste 100, Brentwood, TN 37027-7672 | 2019-09-04 |
| 1265087969 | Adventure Pediatric Dentistry, Pllc | Dentist | 6413 Lee Hwy Ste 119, Chattanooga, TN 37421-4861 | 2019-08-08 |
| 1942868336 | Juhn and Stark LLC | Dentist | 2333 Knob Creek Rd Ste 12, Johnson City, TN 37604-2007 | 2019-05-31 |
| 1093286304 | Wright Pediatric Dentistry | Dentist | 8202 Apison Pike, Ooltewah, TN 37363 | 2018-12-13 |
| Find all providers with the same taxonomy | ||||
| City | MORRISTOWN |
| Zip Code | 37814 |
Please comment or provide details below to improve the information on EDWARD H MOODY JR DDS PC.
| 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.