Individual provider · Type 1 NPI

Blake Edwin Moore, DDS

Pediatric Dentistry · Folsom, CA

NPI number 1801883756 Active

Practice location

2190 E Bidwell St
Folsom, CA 95630-6453

Call (916) 984-0304 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X64252 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

8 other providers at this address

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About NPI 1801883756

Blake Edwin Moore, DDS's National Provider Identifier is 1801883756, issued on Oct 5, 2005. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Folsom, CA. The record was last updated on Dec 25, 2019.