MOODY DENTAL LLC
NPI 1396110508
Dentist in Cedar Lake, IN

Q: What is Moody Dental LLC's NPI number?

The NPI number for Moody Dental LLC is 1396110508. It was assigned to this organization in the NPPES registry on December 14, 2015.

Q: What is Moody Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Moody Dental LLC was last updated on December 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 14, 2015

13955 MORSE ST, CEDAR LAKE, IN 46303(219) 374-5591(219) 374-5592 Get Directions Write a Review

NPPES record last updated: December 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Moody Dental Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOODY DENTAL LLC (NPI 1396110508) is a healthcare organization registered as a dentist in Cedar Lake, Indiana and active in the NPI registry since December 2015. The organization lists Moody Wasif, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1396110508

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameMOODY DENTAL LLC

Location Address13955 MORSE STCedar Lake, IN 46303-9639

Mailing Address13955 Morse StCedar Lake, IN 46303-9639 · (219) 374-5591 · Fax (219) 374-5592

Phone(219) 374-5591

Fax(219) 374-5592

Organization SubpartNo

Authorized OfficialMoody WasifDentist/owner · (219) 322-6892

Enumeration DateDecember 14, 2015

✔ NPI 1396110508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IN · 12011396A

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

13955 MORSE ST, Cedar Lake, IN 46303

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CEDAR LAKE DENTAL CENTER, INC.

Dentist (General Practice)

13955 MORSE ST
CEDAR LAKE, IN 46303

Lake County (219) 374-5591

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moody Dental LLC's NPI number?

The NPI number for Moody Dental LLC is 1396110508. It was assigned to this organization in the NPPES registry on December 14, 2015.

Where is Moody Dental LLC located?

Moody Dental LLC is located at 13955 Morse St, Cedar Lake, IN 46303. The listed phone number is (219) 374-5591.

What is Moody Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Moody Dental LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, DentaQuest USA Insurance and UnitedHealthcare list Moody Dental LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Moody Dental LLC was last updated on December 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.