Search › Arkansas › 1223G0001X
Forrest Moudy
NPI 1750707097 · on the registry since 2014
Practice
- Address
- 105 E 10th St
Danville, AR 72833 - Phone
- (479) 495-2115
- Fax
- (479) 495-2267
- Organisation at this address
- Forrest L Moudy Dds Pa Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-03-11
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 Arkansas