institution
Carter L Blevins Dmd
Oral and Maxillofacial Surgery (Dentist) in Somerset, Kentucky
NPI 1073653853

Carter L Blevins Dmd is a Oral and Maxillofacial Surgery (Dentist) based in Somerset, KY and is specialized in Oral and Maxillofacial Surgery. Carter L Blevins Dmd practices in Somerset, KY. The NPI Number for Carter L Blevins Dmd is 1073653853 and holds a License No. 4201 (Kentucky).

The current practice location address for Carter L Blevins Dmd is 176 Southport Drive, Somerset, KY and can be reached out via phone at 606-679-7562 and via fax at 606-677-2557.

Location: 176 Southport Drive, Somerset, KY, 42501-4149
institution
Provider Profile Details
NPI Number
1073653853
Provider Name
Carter L Blevins Dmd
Credential
Provider Entity Type
Organization
Address
176 Southport Drive, Somerset, KY, 42501-4149
Phone Number
606-679-7562
Fax Number
606-677-2557
Provider Enumeration Date
02/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000217071 01 KY BCBS
64042013 01 KY MEDICAID MEDICAL
60042017 05 KY
institution
Provider Business Practice Location Address Details
Address
176 Southport Drive
City
State
Zip
42501-4149
Phone Number
606-679-7562
Fax Number
606-677-2557
person
Provider Business Mailing Address Details
Address
176 Southport Drive
City
State
Zip
42501-4149
Phone Number
606-679-7562
Fax Number
606-677-2557
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
4201 (Kentucky)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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