| Ryan A Moore Dds, Pllc | |
|
811 Clinton St Arkadelphia AR 71923-5923 | |
| (870) 246-2221 | |
| (870) 246-2532 |
| Full Name | Ryan A Moore Dds, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 811 Clinton St, Arkadelphia, Arkansas |
| Authorized Official Name and Position | Ryan Moore (PRESIDENT/OWNER) |
| 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 811 Clinton St Arkadelphia AR 71923-5923 Ph: (870) 246-2221 | Ryan A Moore Dds, Pllc 811 Clinton St Arkadelphia AR 71923-5923 Ph: (870) 246-2221 |
| NPI Number | 1306291984 |
|---|---|
| Provider Enumeration Date | 05/02/2016 |
| Last Update Date | 05/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306291984 | NPI | - | NPPES |
| 188398608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3843 (Arkansas) | Primary |
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