| Robert M Moodydds/ Eureka | |
|
302 W 3rd St Eureka KS 67045-1404 | |
| (620) 583-7489 | |
| (620) 583-7489 |
| Full Name | Robert M Moodydds/ Eureka |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 302 W 3rd St, Eureka, Kansas |
| Authorized Official Name and Position | Robert M Moody (OWNER/DENTIST) |
| Authorized Official Contact | 6205837489 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert M Moodydds/ Eureka 302 W 3rd St Eureka KS 67045-1404 Ph: (620) 583-7489 | Robert M Moodydds/ Eureka 302 W 3rd St Eureka KS 67045-1404 Ph: (620) 583-7489 |
| NPI Number | 1265624712 |
|---|---|
| Provider Enumeration Date | 08/17/2007 |
| Last Update Date | 08/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265624712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Matthew Standridge, Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 N Main St, Eureka, KS 67045 Phone: 620-583-5535 Fax: 620-583-5755 |