Organization
MOORE DENTAL CARE
Active
Other names
Moore Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM WESLEY MOORE DDS (OWNER)
(479) 484-5050
Entity
Organization
Contact information
Practice address
2913 SOUTH 74TH STREET, FORT SMITH, AR 72903
(479) 484-5050
(479) 484-5052
Mailing address
2913 SOUTH 74TH STREET, FORT SMITH, AR 72903
(479) 484-5050
(479) 484-5052
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
332BC3200X
Customized Equipment (DME)
Primary
3043
AR
Other
Enumeration date
11/07/2013
Last updated
11/09/2020
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