Individual provider · Type 1 NPI

Blakely Moore, DDS

General Practice Dentistry · Conway, AR

NPI number 1225923287 Active

Practice location

550 Chestnut St
Conway, AR 72032-5402

Mailing address

114 Magness Creek Dr
Cabot, AR 72023-8723

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X4854 (AR)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1225923287

Blakely Moore, DDS's National Provider Identifier is 1225923287, issued on Jun 10, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Conway, AR. The record was last updated on Jun 10, 2025.