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

Dr. Michael Derrick Moody, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1033204094

Dr. Michael Derrick Moody, DDS is an Oral and Maxillofacial Surgery (Dentist) in Bartlesville, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

215 SE Howard Ave
Bartlesville, OK 74006-2204
Phone: (918) 333-9155
Fax: (918) 333-9142
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 7289 (OK)

Record details

NPI number1033204094
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedOctober 4, 2006
Last updated in NPPESApril 10, 2024
Certification dateApril 10, 2024
Mailing address9990 W 26th Ave, Suite 100, Lakewood, CO 80215-1581

Other providers in Bartlesville