Individual
DR. BLAKELY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
550 CHESTNUT ST, CONWAY, AR 72032-5402
(501) 329-8754
Mailing address
114 MAGNESS CREEK DR, CABOT, AR 72023-8723
(501) 658-9596
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4854
AR
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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