DR. CAROLYN S MOODY


Address: 303 S 4th St, Suite 200, Danville, KY 40422-2004
Phone: 8592368448

DR. CAROLYN S MOODY (NPI# 1093799819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093799819
Entity Type Individual
Full Name DR. CAROLYN S MOODY
Credential DMD
Practice Address 303 S 4th St
Suite 200
Danville
KY 40422-2004
Practice Telephone 8592368448
Practice Fax Number 8592398909
Mailing Telephone 8592368448
Mailing Fax Number 8592398909
Enumeration Date 2005-12-05
Last Update Date 2014-01-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist 5693 KY Dental Providers
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
5693 KY Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 60056934 05
KY 45601101 05

Other Providers CAROLYN MOODY

NPI Name Taxonomy Address Enumeration
1356432439 Carolyn A Moody Specialist 151 Southwest Dr, Jonesboro, AR 72401-5828 2006-09-27

Office Location

Street Address 303 S 4TH ST
SUITE 200
City DANVILLE
State KY
Zip Code 40422-2004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679170104 Caroline Pellegrino Nurse Practitioner 303 S 4th St, Danville, KY 40422-2091 2020-10-07
1083059711 Miranda Lou Munday Pediatrics 303 S 4th St, Danville, KY 40422-2091 2013-05-08
1326341314 Jason E Tewmey Physician Assistant 303 S 4th St, Danville, KY 40422-2091 2010-12-13
1003060260 Joshua Scott Wiglesworth Pediatrics 303 S 4th St, Danville, KY 40422-2091 2008-11-13
1427238898 Shelley Renee Gover Nurse Practitioner 303 S 4th St, Danville, KY 40422-2091 2007-11-14
1417141326 Rachel Cooper Briese Nurse Practitioner 303 S 4th St, Danville, KY 40422-2091 2007-09-04
1487854584 Janet Fluty Dietitian, Registered 303 S 4th St, Danville, KY 40422-2004 2007-07-18
1831399955 Sheila Michelle Sisk Nurse Practitioner 303 S 4th St, Danville, KY 40422-2004 2007-07-18
1265547723 Danville Pediatrics and Primary Care, Pllc Pediatrics 303 S 4th St, Danville, KY 40422-2004 2006-08-21
1730129586 Danville Pediatrics, Psc Pediatrics 303 S 4th St, Danville, KY 40422-2004 2006-06-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568098754 Healthstat Onsite Clinic Centre College Preventive Medicine 851 West Walnut St, Danville, KY 40422 2020-03-19
1134772288 Austin Simpson Physician Assistant 217 South 3rd Street, Danville, KY 40422 2019-07-18
1033677695 Shannon Holland Erwin Counselor 475 W Main St Suite 160, Danville, KY 40422 2019-03-03
1225556871 Fallon Michelle Carnes Counselor 106 Belinda Blvd., Danville, KY 40422 2017-09-05
1780124529 Natasha Taylor Counselor 461 South 4th Street, Danville, KY 40422 2017-02-27
1184088890 Elizabeth Love Counselor 108 Saint Josephs Ct, Danville, KY 40422 2016-04-08
1801274550 Jeremy Tate Johnson Specialist/Technologist 1637 Perryville Rd., Boyle County High School, Danville, KY 40422 2015-05-14
1649602228 Susan Hale Couzens Dentist 435 Whirlaway Dr, Danville, KY 40422 2013-08-06
1265751200 William Paul Baas Ophthalmology 440 W. Martin L. King Blvd., Suite 100, Danville, KY 40422 2010-05-28
1780823666 Karen Totsuka IIi Speech-Language Pathologist 642 Nth 3rd St, Danville, KY 40422 2009-02-17
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831606094 Djr2 Professional Limited Liability Company Dentist 303 S 4th St Ste 201, Danville, KY 40422-2091 2018-01-09
1962927962 Joshua R. Twiss, D.d.s., Inc. Dentist 822 Hartz Way Ste 100, Danville, CA 94526-3433 2017-08-10
1760772230 Danville Pediatric Dentistry, Psc Dentist 1080 Ben Ali Dr, Suite A, Danville, KY 40422-8937 2011-04-18
1871728279 Dana Libby Kapp Dentist 4135 Blackhawk Plaza Cir Ste 260, Danville, CA 94506 2009-05-28
1457565624 Azadeh Jafarnia Dentist 301 Sycamore Valley Rd W, Danville, CA 94526-3949 2007-05-09
1376661785 Amit Goyal Dentist 136 Coolspring Ct, Danville, CA 94506-1204 2007-03-26
1578571378 Donald C. Schmitt, Dds & Rinku S. Saini, Dds, Inc. Dentist 300 El Cerro Blvd, Ste E, Danville, CA 94526 2006-08-04
1144541095 Jessica Jinhee Lee Dentist 100 N Academy Ave, Danville, PA 17822 2010-06-15
1932425691 Gayatri Malik Dentist 100 North Academy Ave., Danville, PA 17822-1336 2010-04-20
1376796714 Karen A. Uston Dentist 100 N Academy Ave, Danville, PA 17822-1336 2008-10-29
Find all providers in DANVILLE

Competitor

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City DANVILLE
Zip Code 40422

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Dataset Information

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.

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