Doctor profile · Federal record
Dr. Beau Moody, DMD
Dentist · Edwardsville, IL
- NPI 1780917823
- 17 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1811 Lindenwood Ave
Edwardsville, IL 620252580
(618) 659-0456 - Additional location
-
212 E Market St
Troy, IL 622941512
(618) 667-6101
Credentials & registration
- NPI registered
- September 2009 — 17 yrs on file
- Profile last updated
- June 15, 2021
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Illinois #019.028093
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1780917823. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Align Technology, INC. | 1 | $16.59 |
By nature of payment
Frequently asked questions
What is Dr. Beau Moody's medical specialty?
Dr. Beau Moody practices Dentist in Edwardsville, IL.
Where does Dr. Beau Moody practice?
Dr. Beau Moody practices at 1811 Lindenwood Ave, Edwardsville, IL 620252580. Office phone: 6186590456.
What is Dr. Beau Moody's NPI?
Dr. Beau Moody's National Provider Identifier (NPI) is 1780917823, issued by NPPES.