IndividualActive
Amy Moody, DDS
NPI 1366996084 · Dentist · Johnson City, TN
Provider details
- NPI number
- 1366996084
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 0401415249 (VA)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
108 W 10th Ave
Johnson City, TN 37604-3800
Phone: (423) 979-1800
Fax: (423) 979-1802
Approximate (ZIP-level) locationGet directions
Mailing address
108 W 10th Ave
Johnson City, TN 37604-3800
Registry dates
- Enumerated
- 2016-08-10
- Last updated
- 2016-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.