FORREST MOUDY
NPI 1750707097
Dentist - General Practice in Danville, AR

Active since March 11, 2014
105 E 10TH ST, DANVILLE, AR 72833(479) 495-2115(479) 495-2267 Get Directions Write a Review

NPPES record last updated: March 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Forrest Moudy NPPES

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

FORREST MOUDY (NPI 1750707097) is an individual general practice provider in Danville, Arkansas, licensed in Arkansas (2030) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1750707097
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameFORREST MOUDY
Location Address105 E 10TH STDanville, AR 72833-0878
Mailing AddressPo Box 878Danville, AR 72833-0878 · (479) 495-2115 · Fax (479) 495-2267
Fax(479) 495-2267
Sole ProprietorNo
Enumeration DateMarch 11, 2014
NPI 1750707097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AR · 2030
Definition
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.
105 E 10TH ST, Danville, AR 72833

Other Identifiers 1

Medicaid106597608AR

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
105 E 10TH ST
DANVILLE, AR 72833

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 Forrest Moudy's NPI number?

The NPI number for Forrest Moudy is 1750707097. It was assigned to this individual provider in the NPPES registry on March 11, 2014.

Where is Forrest Moudy located?

Forrest Moudy practices at 105 E 10th St, Danville, AR 72833. The listed phone number is (479) 495-2115.

What is Forrest Moudy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Forrest Moudy was last updated on March 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.