Organization
RYAN A MOORE DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN MOORE D.D.S. (OWNER/PRESIDENT)
(501) 351-0368
Entity
Organization
Contact information
Practice address
8116 CANTRELL RD STE C, LITTLE ROCK, AR 72227-2502
(501) 227-5200
Mailing address
8116 CANTRELL RD STE C, LITTLE ROCK, AR 72227-2502
(501) 227-5200
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
Enumeration date
07/09/2013
Last updated
07/09/2013
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