The Blevins Legacy Dental

NPI 1053409490 - Dentist - 1223G0001X

NPI Details
NPI 1053409490
Enumeration Date 10/11/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MELANIE LYNN MELANIE
Position DENTIST/OWNER
Phone (740) 886-7000
Fax (740) 886-5518
Practice Location
148 STATE ROUTE 775
PROCTORVILLE OH, 45669-8839, US
Phone (740) 886-7000
Fax (740) 886-5518
Business Location
PO BOX 459
PROCTORVILLE OH, 45669-0459, US
Phone (740) 886-7000
Fax (740) 886-5518
Toxanomy
Taxonomy Code 1223G0001X
License State West Virginia
License Number 3484
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According to our database, The Blevins Legacy Dental NPI is 1053409490, taxonomy code is 1223G0001X and license number is 3484, license state is located at West Virginia. The Blevins Legacy Dental physically located at 148 State Route 775, Proctorville OH, 45669-8839. NPI Number 1033115704 has the healthcare provider type.

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1053409490 NPI number is provided on an as is basis without warranty of any kind. 1053409490 is maintained by the National Plan & Provider Enumeration System. The contents of The Blevins Legacy Dental are for informational purposes only.