Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578780979 Individual Practitioner Male Practitioner

Dr. Jerry Wayne Moody , DDS

Dentist - General Practice • Tumwater, WA

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Moody, DDS is a registered healthcare professional specializing in Dentist - General Practice in Tumwater, WA. Practice services are available at 501 TYEE DR SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

501 Tyee Dr Sw

Tumwater, WA 985127313

Telephone 3603525100
Fax 3607051274
Associated Practice Facility / Clinic
🏢 Joshua Merrell, Dds, Pllc Facility NPI 1245893601

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tumwater, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
17 Specialists

Practicing in Tumwater, WA (3345 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE00006219

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Joseph Bradley , DDS

Dentist - General Practice

NPI 1043316334

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 501 TYEE DR SW, TUMWATER, WA 985127313 (Tel: 3603525100)

📍
Updated Business Mailing Address July 08, 2007

Registered at 501 TYEE DR SW, TUMWATER, WA 985127313 (Tel: 3603525100)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JERRY MOODY, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DE00006219 in WA)

🟢
Initial NPI Registration & Enumeration April 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578780979
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

501 Tyee Dr Sw

Tumwater, WA 985127313

Phone: 3603525100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.