| Justin Moody Pc | |
|
705 First Street Crawford NE 69339-0488 | |
| (308) 665-2025 | |
| (308) 665-1506 |
| Full Name | Justin Moody Pc |
|---|---|
| Speciality | Dentist |
| Location | 705 First Street, Crawford, Nebraska |
| Authorized Official Name and Position | Justin D Moody (OWNER) |
| Authorized Official Contact | 6057165622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Moody Pc Po Box 488 Crawford NE 69339-0488 Ph: (308) 665-2025 | Justin Moody Pc 705 First Street Crawford NE 69339-0488 Ph: (308) 665-2025 |
| NPI Number | 1346317757 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 11/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346317757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6124 (Nebraska) | Primary |
Horizon West Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 1st St, Box 488, Crawford, NE 69339 Phone: 308-665-2025 Fax: 308-665-1506 |