Search › Illinois › 1223G0001X
Stacy Moody, DMD
NPI 1700984317 · on the registry since 2006
Practice
- Address
- 3120 Maryville Rd
Granite City, IL 62040 - Phone
- (618) 797-9940
- Organisation at this address
- Midwest Family Dentistry Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-10-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois