DR. JERRY WAYNE MOODY (D.D.S.) – General Practice Dentistry, NPI 1578780979

DR. JERRY WAYNE MOODY (D.D.S.) is a healthcare provider. based in Tumwater, Washington. specializing in General Practice Dentistry. They hold the professional credentials D.D.S.. They hold a License No. DE00006219 (WA). The NPI Number for DR. JERRY WAYNE MOODY (D.D.S.) is 1578780979

Main info

Male
Sole Proprietor
Name
DR. JERRY WAYNE MOODY (D.D.S.)
NPI
1578780979
Phone
(360) 352-5100
Address
501 TYEE DR SW
Enumeration Date
19 April 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. JERRY WAYNE MOODY (D.D.S.)

  • 501 TYEE DR SW

    TUMWATER, WA 985127313

    Phone: (360) 352-5100

    Fax: (360) 705-1274

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98512)

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Frequently asked questions

Is there an official ID for DR. JERRY WAYNE MOODY (D.D.S.) in U.S. healthcare records?
The official identifier for DR. JERRY WAYNE MOODY (D.D.S.) is NPI 1578780979.
Is DR. JERRY WAYNE MOODY (D.D.S.) shown as active in public data?
Registry records indicate DR. JERRY WAYNE MOODY (D.D.S.) maintains an active NPI.
How would a patient describe DR. JERRY WAYNE MOODY (D.D.S.)'s focus?
For DR. JERRY WAYNE MOODY (D.D.S.), the primary taxonomy reads as General Practice Dentistry. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JERRY WAYNE MOODY (D.D.S.)?
Directory geography for DR. JERRY WAYNE MOODY (D.D.S.) centers on Tumwater, Washington.
Does DR. JERRY WAYNE MOODY (D.D.S.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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