EVAN PAUL MOODY DDS, MD
NPI 1497077523
Dentist - Oral and Maxillofacial Surgery in Jacksonville, FL

Q: What is Evan Moody's NPI number?

The NPI number for Evan Moody is 1497077523. It was assigned to this individual provider in the NPPES registry on February 16, 2010.

Q: What is Evan Moody's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Evan Moody was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 February 16, 2010

2080 CHILD ST ORAL & MAXILLOFACIAL SURGERY DEPARTMENT, JACKSONVILLE, FL 32214(904) 542-7540(904) 542-7543 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Evan Paul Moody Dds, Md NPPES

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

EVAN PAUL MOODY DDS, MD (NPI 1497077523) is an individual oral and maxillofacial surgery provider in Jacksonville, Florida, licensed in Florida (DN25752) and active in the NPI registry since February 2010. He maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1497077523

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameEVAN PAUL MOODYCredential: DDS, MD

Location Address2080 CHILD ST ORAL & MAXILLOFACIAL SURGERY DEPARTMENTJacksonville, FL 32214-2640

Mailing Address2315 Miller Oaks Dr NJacksonville, FL 32217-3507 · (913) 748-9988

Phone(904) 542-7540

Fax(904) 542-7543

Sole ProprietorYes

Enumeration DateFebruary 16, 2010

Last NPPES UpdateSeptember 26, 2023

NPPES CertifiedSeptember 26, 2023

✔ NPI 1497077523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in FL · DN25752

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

2080 CHILD ST ORAL & MAXILLOFACIAL SURGERY DEPARTMENT, Jacksonville, FL 32214

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Secondary Practice Location 1

Location 17909 Normandy BlvdJacksonville, FL 32221-6640 · Phone (904) 786-1309

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 Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

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 Evan Moody's NPI number?

The NPI number for Evan Moody is 1497077523. It was assigned to this individual provider in the NPPES registry on February 16, 2010.

Where is Evan Moody located?

Evan Moody practices at 2080 Child St Oral & Maxillofacial Surgery Department, Jacksonville, FL 32214. The listed phone number is (904) 542-7540.

What is Evan Moody's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Evan Moody accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 12 other insurers list Evan Moody 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 Evan Moody was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.