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

Dr. Jerry Wayne Moody, DDS

Individual provider General Practice Dentistry · NPI 1578780979

Dr. Jerry Wayne Moody, DDS is a General Practice Dentistry in Tumwater, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

501 Tyee Dr SW
Tumwater, WA 98512-7313
Phone: (360) 352-5100
Fax: (360) 705-1274
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 DE00006219 (WA)

Record details

NPI number1578780979
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 19, 2007
Last updated in NPPESJuly 8, 2007

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