Dr. Blake Edwin Moore is a Folsom, California based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Blake Edwin Moore is
64252 for Pediatric Dentistry in California. His current practice location is
2190 E Bidwell St, Folsom. Patients can reach him at
916-984-0304.
Dr. Blake Edwin Moore provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Blake Edwin Moore speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Blake Edwin Moore |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2190 E Bidwell St, Folsom,
California, 95630-6453 |
| Phone: | 916-984-0304 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1801883756 |
| NPI Enumeration Date: | 05 Oct, 2005 |
| NPI Last Update On: | 25 Dec, 2019 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Blake Edwin Moore are as mentioned below.
| License Number | Specialization | State | Status | |
| 64252 | Pediatric Dentistry | California | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2190 E Bidwell St,
Folsom, California |
| Zip: | 95630-6453 |
| Phone Number: | 916-984-0304 |
Patients can reach Dr. Blake Edwin Moore at
2190 E Bidwell St, Folsom, California or can
call to book an appointment on 916-984-0304.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.