Blakely Moore, DDS

General Practice Dentistry · Conway, AR

Individual Active NPI

NPI number 1225923287

Practice location

550 Chestnut St
Conway, AR 72032-5402
Phone
(501) 329-8754

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NPI record

NPI
1225923287
Entity type
Individual (Type 1)
Enumeration date
June 10, 2025
Last updated
June 10, 2025
Certified
May 20, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 4854 AR

Mailing address

114 Magness Creek Dr
Cabot, AR 72023-8723
Phone
(501) 658-9596

About Dr. Moore

Blakely Moore, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 550 Chestnut St, Conway, AR 72032-5402. The NPI number 1225923287 was assigned on June 10, 2025 and the record was last updated on June 10, 2025.

Dr. Moore lists a license in the registry: #4854 (AR) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Blakely Moore, DDS?

The NPI number is 1225923287.

What is the phone number of Dr. Moore?

The phone number listed for the practice location is (501) 329-8754.

Where is Dr. Moore located?

550 Chestnut St, Conway, AR 72032-5402.

What is the taxonomy code for Dr. Moore?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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