Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BLAKE EDWIN MOORE, DDS
Active Sole ProprietorDR. BLAKE EDWIN MOORE, DDS is a Pediatric Dentistry healthcare provider located in FOLSOM, California. NPI 1801883756 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · FOLSOM, CA
Registration Details
- NPI Number
- 1801883756
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 5, 2005 (20.888621804408 yrs)
- Last Updated
- Dec 25, 2019
- License
-
64252 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2190 E BIDWELL STFOLSOM, CA, 956306453Browse CA providers · Browse ZIP 95630
- Phone
- 9169840304
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in FOLSOM, CA
| Name | Credential | NPI |
|---|---|---|
| DR. JENNIFER LEE RYAN | D.D.S., M.S. | 1700969706 |
| MONICA TAVALLAEI | D.M.D. | 1356558159 |
| CHRISTOPHER DAVID KANAS | D.D.S. | 1144437948 |
| DR. ROHINI TANEJA RATTU | DDS | 1154577492 |
| MR. CHARLES CHI HAO LEUNG | DDS | 1912290412 |
| DEXTER YEE | DMD | 1720465321 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.