Moudy, Matthew E
Moudy, Matthew E is an sole proprietor health care provider with primary practice located at 4701 Fairway Ave Ste C , North Little Rock AR 72116-8069. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Moudy, Matthew E can be contacted via phone (501) 508-8101.Contact Information
Primary practice address
4701 Fairway Ave Ste C
North Little Rock AR 72116-8069
Phone: (501) 508-8101
Fax: (888) 278-6461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3470 | Arkansas |
Profile Details
| NPI number | 1750448114 |
|---|---|
| LBN Legal business name | Moudy, Matthew E |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Feb 16th, 2026 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750448114 | NPPES |
| Arkansas | MEDICAID | 158956608 |
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