DR. DEANA LANE MOODY (NPI# 1124302930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124302930 |
| Entity Type | Individual |
| Full Name | DR. DEANA LANE MOODY |
| Credential | D.D.S. |
| Practice Address |
4255 Altamont Pl Suite 204 White Plains MD 20695-3023 |
| Practice Telephone | 2403492158 |
| Practice Fax Number | 2403492158 |
| Mailing Telephone | 2403492158 |
| Mailing Fax Number | 2403492158 |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2011-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11572 | MD | Dental Providers |
| Street Address |
4255 ALTAMONT PL SUITE 204 |
| City | WHITE PLAINS |
| State | MD |
| Zip Code | 20695-3023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770579633 | Dr Baig LLC | Family Medicine | 4255 Altamont Pl, Ste 203, White Plains, MD 20695-3024 | 2005-09-26 |
| 1275903916 | Laura Behm | Nurse Practitioner | 4255 Altamont Pl, Suite 301, White Plains, MD 20695-3023 | 2015-10-06 |
| 1881063774 | Mary Kathryn Pfeifer | Nurse Practitioner | 4255 Altamont Pl, Suite 301, White Plains, MD 20695-3023 | 2015-09-21 |
| 1760653448 | Center for Interventional Medicine, LLC | Radiology | 4255 Altamont Pl, Suite 101, White Plains, MD 20695-3053 | 2008-03-20 |
| 1790983518 | Dalia A Fadul | Radiology | 4255 Altamont Pl, Ste 104, White Plains, MD 20695-3023 | 2007-07-03 |
| 1215927900 | Meghal R Antani | Radiology | 4255 Altamont Pl, Suite 101, White Plains, MD 20695-3053 | 2005-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023590452 | Dominique Bouldin | Driver | 11136 Saint Christopher Drive, White Plains, MD 20695 | 2018-09-01 |
| 1366928665 | Wooten Lyons LLC | Psychiatry & Neurology | 10665 Stanhaven Place, Suite 300a, White Plains, MD 20695 | 2018-07-19 |
| 1962914507 | Kids By The Bay Dental LLC | Clinic/Center | 5010 Regency Place Ste 102, White Plains, MD 20695 | 2017-11-03 |
| 1528592896 | Darlena Austin | Social Worker | 5310 Exeter Place, White Plains, MD 20695 | 2017-04-13 |
| 1609307040 | Phylicia Wooten | Counselor | 5510 Regency Place Suite 203, White Plains, MD 20695 | 2017-03-27 |
| 1760856488 | Stephanie W Allen | Physical Therapist | Ospt South Office 4470 Regency Place, Suite #100, White Plains, MD 20695 | 2015-11-18 |
| 1457743122 | Raven Gray | Physical Therapy Assistant | 10708 Esprit Place, White Plains, MD 20695 | 2015-03-04 |
| 1043629850 | Adenike Kupolati | Pharmacist | 4220 Altamont Place, White Plains, MD 20695 | 2014-08-06 |
| 1942532064 | Divine Intervention Community Support Services | Community/Behavioral Health | 7727 Chesterfied Ct., White Plains, MD 20695 | 2010-02-01 |
| 1740517895 | Optionet Support Service | Community/Behavioral Health | 7727 Chesterfield Court, White Plains, MD 20695 | 2009-11-11 |
| Find all providers in zip 20695 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629410253 | White Plains Dental Care, Pllc | Dentist | 114 Mamaroneck Ave, White Plains, NY 10601-5201 | 2013-07-24 |
| 1295095222 | Benjamin Carl Rudow | Dentist | 280 Mamaroneck Ave Ste 307, White Plains, NY 10605 | 2012-05-24 |
| 1629345251 | Neibauer Dental Care, PC | Dentist | 10665 Stanhaven Pl Ste 105, White Plains, MD 20695-3056 | 2011-11-28 |
| 1972832954 | Marion Davis | Dentist | 12 Bradford Ave, White Plains, NY 10603-2104 | 2009-12-21 |
| 1811139579 | Ingrid Ruth Prieditis | Dentist | 280 Mamaroneck Ave Ste 107, Suite 107, White Plains, NY 10605-1459 | 2009-03-27 |
| 1376782698 | Jojo Arroll Lacerna Manato | Dentist | 8817 Regent Ct, White Plains, MD 20695-3451 | 2009-02-10 |
| 1821249509 | Feryal Asadollihi-alidadi | Dentist | 1 Old Mamaroneck Rd. Suite # 1c, White Plains, NY 10605-1703 | 2008-10-01 |
| 1184820268 | Antoine Bochi | Dentist | 79 N Broadway, Building- A, White Plains, NY 10603-3750 | 2007-06-25 |
| 1386857571 | Michael Barry Saul | Dentist | 10 Chester Avenue, White Plains, NY 10601 | 2007-05-07 |
| 1750406393 | Michael J Pavelchek | Dentist | 273 Central Ave, First Floor, White Plains, NY 10606-1207 | 2007-03-20 |
| Find all providers in WHITE PLAINS | ||||
| City | WHITE PLAINS |
| Zip Code | 20695 |
Please comment or provide details below to improve the information on DR. DEANA LANE MOODY.
| 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.