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

Michael Thomas Moody

Individual provider Oral & Maxillofacial Surgery (D.M.D.) · NPI 1710829494

Michael Thomas Moody is an Oral & Maxillofacial Surgery (D.M.D.) in Richmond, Virginia. Licensed in Virginia. Registered with an NPI since 2026.

Licensed in
VA
In the registry since
2026

Practice location Address checks out

401 N 11th St
Richmond, VA 23219-1901
Phone: (804) 828-0602
Fax: (804) 593-4279
Show map & directions

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

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 0442000582 (VA)

Record details

NPI number1710829494
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 9, 2026
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026
Mailing addressPo Box 980257, Richmond, VA 23298-0257

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