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DR. BLAKE EDWIN MOORE DDS
NPI 1801883756
Dentist - Pediatric Dentistry in Folsom, CA

Active since October 05, 2005
2190 E BIDWELL ST, FOLSOM, CA 95630(916) 984-0304 Get Directions Write a Review

NPPES record last updated: December 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Blake Edwin Moore Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BLAKE EDWIN MOORE DDS (NPI 1801883756) is an individual pediatric dentistry provider in Folsom, California, licensed in California (64252) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1801883756
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. BLAKE EDWIN MOORECredential: DDS
Location Address2190 E BIDWELL STFolsom, CA 95630-6453
Mailing Address2190 E Bidwell StFolsom, CA 95630-6453 · (916) 984-0304
Phone(916) 984-0304
Sole ProprietorYes
Enumeration DateOctober 5, 2005
Last NPPES UpdateDecember 25, 2019
✔ NPI 1801883756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · 64252
Definition
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.
2190 E BIDWELL ST, Folsom, CA 95630
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

S.Y. JANG DDS CORPORATIOM
Dentist (Pediatric Dentistry)
2190 E BIDWELL ST
FOLSOM, CA 95630
Sacramento County (916) 984-0304
DR. JINA C ANNELLO D.M.D, MSD
Dentist (Orthodontics and Dentofacial Orthopedics)
2190 E BIDWELL ST
FOLSOM, CA 95630
Sacramento County (916) 984-0304
DR. ANGELA MIAOXIN DU DDS
Dentist
2190 E BIDWELL ST
FOLSOM, CA 95630
Sacramento County (916) 984-0304
MONICA TAVALLAEI D.M.D.
Dentist (Pediatric Dentistry)
2190 E BIDWELL ST
FOLSOM, CA 95630
Sacramento County (916) 984-0304
ISSA KAWAS DDS
Oral & Maxillofacial Surgery
2190 E BIDWELL ST
FOLSOM, CA 95630
Sacramento County (916) 984-0304
DR. MEHDI ARAGHBIDIKASHANI DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
2190 E BIDWELL ST
FOLSOM, CA 95630
Sacramento County (916) 984-0304
DR. SABRINA Y JANG D.D.S.
Dentist
2190 E BIDWELL ST
FOLSOM, CA 95630
Sacramento County (415) 254-9687
MR. CHARLES CHI HAO LEUNG DDS
Dentist (Pediatric Dentistry)
2190 E BIDWELL ST
FOLSOM, CA 95630
Sacramento County (916) 984-0304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Moore's NPI number?

The NPI number for Blake Moore is 1801883756. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Where is Blake Moore located?

Blake Moore practices at 2190 E Bidwell St, Folsom, CA 95630. The listed phone number is (916) 984-0304.

What is Blake Moore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Blake Moore was last updated on December 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.