Individual
DR. RYAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
811 CLINTON ST, ARKADELPHIA, AR 71923-5923
(870) 246-2221
(870) 246-2532
Mailing address
811 CLINTON ST, ARKADELPHIA, AR 71923-5923
(870) 246-2221
(870) 246-5923
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3843
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188398608
—
AR
05
—
21305563
—
AR
Enumeration date
07/14/2011
Last updated
02/14/2018
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