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Dr. Walter Blevins JR., DMD
General Practice Dentistry in West Liberty, Kentucky
NPI 1083823306

Walter Blevins JR. is a General Practice Dentistry based in West Liberty, KY and is specialized in General Practice. Walter Blevins JR. practices in West Liberty, KY and has the professional credentials of DMD. The NPI Number for Walter Blevins JR. is 1083823306 and holds a License No. 4562 (Kentucky).

The current practice location address for Walter Blevins JR. is 777 Broadway St, West Liberty, KY and can be reached out via phone at 606-743-1212 and via fax at 606-743-1214.

Location: 777 Broadway St, West Liberty, KY, 41472-1109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083823306
Provider Name
Walter Blevins JR.
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
777 Broadway St, West Liberty, KY, 41472-1109
Phone Number
606-743-1212
Fax Number
606-743-1214
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60045622 05 KY
institution
Provider Business Practice Location Address Details
Address
777 Broadway St
City
West Liberty
State
Kentucky
Zip
41472-1109
Phone Number
606-743-1212
Fax Number
606-743-1214
person
Provider Business Mailing Address Details
Address
777 Broadway St
City
West Liberty
State
Kentucky
Zip
41472-1109
Phone Number
606-743-1212
Fax Number
606-743-1214
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
4562 (Kentucky)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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