Dr. Michael Derrick Moody
Oral & Maxillofacial Surgeon
9990 W 26th Ave Suite 100
Lakewood
, Colorado 80215-1581
Dr. Michael Derrick Moody
Oral & Maxillofacial Surgeon
9990 W 26th Ave Suite 100
Lakewood
, Colorado 80215-1581
(303) 232-8795
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Michael Derrick Moody
- 9990 W 26th Ave Suite 100
- Lakewood, CO
- Zip : 80215-1581
- Fax : (303) 232-8795
- Phone : (303) 232-4422
Second Address
- Dr. Michael Derrick Moody
- 9990 W 26th Ave Suite 100
- Lakewood, CO
- Zip : 80215-1581
- Fax : (303) 232-8795
- Phone : (303) 232-4422
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 9166 | CO |
National Provider Identifier
| NPI | 1033204094 |
|---|---|
| Provider Name | Dr. Michael Derrick Moody |
| First Address | Lakewood, CO 80215-1581 |
| Second Address | Lakewood, CO 80215-1581 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2006 |
| Last Update Date | 08/07/2007 |
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.