| Ryan A Moore Dds, Pllc | |
|
8116 Cantrell Rd Ste C Little Rock AR 72227-2502 | |
| (501) 227-5200 | |
| Not Available |
| Full Name | Ryan A Moore Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8116 Cantrell Rd Ste C, Little Rock, Arkansas |
| Authorized Official Name and Position | Ryan Moore (OWNER/PRESIDENT) |
| Authorized Official Contact | 5013510368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan A Moore Dds, Pllc 8116 Cantrell Rd Ste C Little Rock AR 72227-2502 Ph: (501) 227-5200 | Ryan A Moore Dds, Pllc 8116 Cantrell Rd Ste C Little Rock AR 72227-2502 Ph: (501) 227-5200 |
| NPI Number | 1417398256 |
|---|---|
| Provider Enumeration Date | 07/09/2013 |
| Last Update Date | 07/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417398256 | NPI | - | NPPES |
| 188398608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3843 (Arkansas) | Primary |
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