Brian Moody, DDS, PLLC

General Practice Dentistry · Bothell, WA

Organization Active NPI

NPI number 1689128746

Practice location

19214 Bothell Way NE
Suite C
Bothell, WA 98011-6066
Phone
(425) 485-0300

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NPI record

NPI
1689128746
Entity type
Organization (Type 2)
Enumeration date
August 6, 2016
Last updated
August 6, 2016
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DE00010023 WA

Authorized official

Name
Dr. Brian Moody, DDS
Title
Owner
Phone
(425) 485-0300

Other names

  • Creekside Dental

About Brian Moody, DDS, PLLC

Brian Moody, DDS, PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 19214 Bothell Way NE, Suite C, Bothell, WA 98011-6066. The NPI number 1689128746 was assigned on August 6, 2016 and the record was last updated on August 6, 2016.

Brian Moody, DDS, PLLC lists a license in the registry: #DE00010023 (WA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Brian Moody, DDS, Owner.

Frequently asked questions

What is the NPI number of Brian Moody, DDS, PLLC?

The NPI number is 1689128746.

What is the phone number of Brian Moody, DDS, PLLC?

The phone number listed for the practice location is (425) 485-0300.

Where is Brian Moody, DDS, PLLC located?

19214 Bothell Way NE, Suite C, Bothell, WA 98011-6066.

What is the taxonomy code for Brian Moody, DDS, PLLC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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