NPI

W.jim Moore, Jr. D.d.s.,ltd.

NPI 1215139464

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2007-06-01
Last updated
2020-08-22

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Specialties

Licenses

License AR
2165

Location

Practice location
3024 S Olive St
City
Pine Bluff AR
Postal code
71603-5438
Phone
(870) 536-2650

Organization contact

Name
W. Moore
Title
owner
Phone
(870) 536-2650

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Pine Bluff, AR. 1,214 records in the public file.

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