Carter L Blevins Dmd

NPI 1073653853 - Dentist - 1223S0112X

NPI Details
NPI 1073653853
Enumeration Date 02/08/2007
Last Updated 02/07/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CARTER L CARTER
Position OWNER ORAL SURGEON
Phone (606) 679-7562
Fax (606) 677-2557
Practice Location
176 SOUTHPORT DRIVE
SOMERSET KY, 42501-4149, US
Phone (606) 679-7562
Fax (606) 677-2557
Business Location
176 SOUTHPORT DRIVE
SOMERSET KY, 42501-4149, US
Phone (606) 679-7562
Fax (606) 677-2557
Toxanomy
Taxonomy Code 1223S0112X
License State Kentucky
License Number 4201
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According to our database, Carter L Blevins Dmd NPI is 1073653853, taxonomy code is 1223S0112X and license number is 4201, license state is located at Kentucky. Carter L Blevins Dmd physically located at 176 Southport Drive, Somerset KY, 42501-4149. NPI Number 1033115704 has the healthcare provider type.

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1073653853 NPI number is provided on an as is basis without warranty of any kind. 1073653853 is maintained by the National Plan & Provider Enumeration System. The contents of Carter L Blevins Dmd are for informational purposes only.