Organization
W.JIM MOORE, JR. D.D.S.,LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. W. JIM MOORE JR. D.D.S., M.S.D. (OWNER)
(870) 536-2650
Entity
Organization
Contact information
Practice address
3024 S OLIVE ST, PINE BLUFF, AR 71603-5438
(870) 536-2650
(870) 536-3820
Mailing address
3024 S OLIVE ST, PINE BLUFF, AR 71603-5438
(870) 536-2650
(870) 536-3820
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2165
AR
Other
Enumeration date
06/01/2007
Last updated
08/22/2020
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