7909 Normandy BlvdJacksonville, FL 32221-6640
- Phone
- (904) 786-1309
- Source checked
- May 26, 2026
CMS NPPES Data Dissemination May 2026 V2
Back to Jacksonville dentists
Provider record
Evan Paul Moody DDS, MD
Evan Paul Moody DDS, MD has a source-reported CMS NPPES record for Oral And Maxillofacial Surgery (dentist) in Jacksonville, FL. MyCareRoute shows the NPI, entity type, taxonomy, practice address, reported phone, and source checked date from public data.
NPI1497077523
Entity typeIndividual
Reported phone(904) 542-7540
SourceCMS NPPES
National Plan and Provider Enumeration System
Source checkedJune 3, 2026
Data pulled and checked
NPPES statusActive
Reported to NPPES
Directory statusIndependent
No affiliation or endorsement implied
We show source-reported CMS NPPES fields.
Confirm details directly with the provider.NPI and status
Source-labeled identifiers and reported record state.
- NPI
- 1497077523
- Entity type
- Individual
- NPPES status
- Reported active
- License status
- Not primary-source verified
Practice location
Practice address and phone as reported in CMS NPPES.
- Address
- 2080 Child St Oral & Maxillofacial Surgery Department
Jacksonville, FL 32214-2640 - Phone
- (904) 542-7540
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Additional practice locations
NPPES reports 1 additional Florida practice location for this NPI. This page shows up to five source-reported rows and does not map or verify these locations.
How to verify this record
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- Confirm the office address and phone number directly with the provider.
- Use the NPI number when comparing this record with CMS NPPES.
- Check state licensing sources separately for license status or disciplinary history.
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Taxonomy and source
Specialty taxonomy is source-reported and not a quality or license determination.
- Taxonomy code
- 1223S0112X
- Specialty
- Oral and Maxillofacial Surgery (Dentist)
- Source
- CMS NPPES
- Last updated
- May 26, 2026