Dr. Carolyn S Moody
Dentist Pediatric Dentist
303 S 4th St Suite 200
Danville
, Kentucky 40422-2004
Dr. Carolyn S Moody
Dentist Pediatric Dentist
303 S 4th St Suite 200
Danville
, Kentucky 40422-2004
(859) 239-8909
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About
Features
Specialties
- Dentist
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Carolyn S Moody
- 303 S 4th St Suite 200
- Danville, KY
- Zip : 40422-2004
- Fax : (859) 239-8909
- Phone : (859) 236-8448
Second Address
- Dr. Carolyn S Moody
- 303 S 4th St Suite 200
- Danville, KY
- Zip : 40422-2004
- Fax : (859) 239-8909
- Phone : (859) 236-8448
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | 5693 | KY |
| Y | 1223P0221X | Pediatric Dentist | 5693 | KY |
National Provider Identifier
| NPI | 1093799819 |
|---|---|
| Provider Name | Dr. Carolyn S Moody |
| First Address | Danville, KY 40422-2004 |
| Second Address | Danville, KY 40422-2004 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/12/2005 |
| Last Update Date | 09/01/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 45601101 | (05) | KY |
| 60056934 | (05) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.