DR. BEAU G MOODY DMD
NPI 1780917823
Dentist in Edwardsville, IL

Q: What is Beau Moody's NPI number?

The NPI number for Beau Moody is 1780917823. It was assigned to this individual provider in the NPPES registry on September 8, 2009.

Q: What is Beau Moody'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 Beau Moody was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 September 08, 2009

1811 LINDENWOOD AVE, EDWARDSVILLE, IL 62025(618) 659-0456 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 15, 2021, Oct 21, 2016 (2 updates tracked since 2016).

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About Dr. Beau G Moody Dmd NPPES

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

DR. BEAU G MOODY DMD (NPI 1780917823) is an individual dentist in Edwardsville, Illinois, licensed in Illinois (019.028093) and active in the NPI registry since September 2009. He maintains a secondary practice location in Troy.

NPPES Registry Identity

NPI1780917823

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. BEAU G MOODYCredential: DMD

Location Address1811 LINDENWOOD AVEEdwardsville, IL 62025-2580

Mailing Address1811 Lindenwood AveEdwardsville, IL 62025-2580 · (618) 659-0456

Phone(618) 659-0456

Sole ProprietorYes

Enumeration DateSeptember 8, 2009

Last NPPES UpdateJune 15, 20212 updates tracked since enumeration

NPPES CertifiedJune 15, 2021

✔ NPI 1780917823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019.028093

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.

1811 LINDENWOOD AVE, Edwardsville, IL 62025

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Secondary Practice Location 1

Location 1212 E Market StTroy, IL 62294-1512 · Phone (618) 667-6101

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

EDWARDSVILLE FAMILY DENTIST

Clinic/Center (Dental)

1811 LINDENWOOD AVE
EDWARDSVILLE, IL 62025

Madison County (618) 659-0456

DR. RULA SABAH ODEH AMARIN DDS, MS

Dentist (Prosthodontics)

1811 LINDENWOOD AVE
EDWARDSVILLE, IL 62025

Madison County (618) 659-0456

DR. MICHAEL HUDSON DMD

Dentist (General Practice)

1811 LINDENWOOD AVE
EDWARDSVILLE, IL 62025

Madison County (618) 659-0456

DR. JAKE SCHEITER DMD

Dentist

1811 LINDENWOOD AVE
EDWARDSVILLE, IL 62025

Madison County (618) 659-0456

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 Beau Moody's NPI number?

The NPI number for Beau Moody is 1780917823. It was assigned to this individual provider in the NPPES registry on September 8, 2009.

Where is Beau Moody located?

Beau Moody practices at 1811 Lindenwood Ave, Edwardsville, IL 62025. The listed phone number is (618) 659-0456.

What is Beau Moody's specialty?

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

What insurance does Beau Moody accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Beau 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 Beau Moody was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.