Stacy Renae Moody, DMD is a general practice dentist in Granite City, IL. The provider is 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. Stacy Renae Moody, DMD NPI is 1700984317. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
3120 MARYVILLE RD
GRANITE CITY, IL
ZIP 62040-189
Phone: (618) 797-9940
The NPI 1700984317 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 9/20/2006 and was last updated on 10/30/2013.