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

Stacy Renae Moody, DMD

Individual provider General Practice Dentistry · NPI 1700984317

Stacy Renae Moody, DMD is a General Practice Dentistry in Granite City, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

3120 Maryville Rd
Granite City, IL 62040-5189
Phone: (618) 797-9940
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019026581 (IL)

Record details

NPI number1700984317
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESOctober 30, 2013

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