Provider Demographics
NPI:1154481109
Name:MOORE, JAMES E JR (DDS PA)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:MOORE
Suffix:JR
Gender:M
Credentials:DDS PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 S UNIVERSITY AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-5230
Mailing Address - Country:US
Mailing Address - Phone:501-666-7623
Mailing Address - Fax:501-666-3410
Practice Address - Street 1:200 S UNIVERSITY AVE
Practice Address - Street 2:STE 200
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5230
Practice Address - Country:US
Practice Address - Phone:501-666-7623
Practice Address - Fax:501-666-3410
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR22151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice