Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charon Moody, RDHAP

Individual provider Advanced Practice Dental Therapist · NPI 1558828160

Charon Moody, RDHAP is an Advanced Practice Dental Therapist in Carson, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

727 E Holborn Dr
Carson, CA 90746-2328
Phone: (213) 591-0807
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Advanced Practice Dental Therapist (primary) Taxonomy 125K00000X · Licence 723 (CA)

Record details

NPI number1558828160
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDHAP
Sole proprietorYes
NPI enumeratedMarch 1, 2019
Last updated in NPPESMarch 1, 2019
Mailing address727 E Holborn Dr, Carson, CA 90746-2328