person
Dr. Michael D. Blen, DDS
Pediatric Dentist in Memphis, Tennessee
NPI 1174511604

Michael D. Blen is a Pediatric Dentist based in Memphis, TN and is specialized in Pediatric Dentistry. Michael D. Blen practices in Memphis, TN and has the professional credentials of DDS. The NPI Number for Michael D. Blen is 1174511604 and holds a License No. DS7318 (Tennessee).

The current practice location address for Michael D. Blen is 6363 Poplar Ave, Memphis, TN and can be reached out via phone at 901-415-2536 and via fax at 901-415-6292.

Location: 6363 Poplar Ave, Memphis, TN, 38119-4831
person
Provider Profile Details
NPI Number
1174511604
Provider Name
Michael D. Blen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
6363 Poplar Ave, Memphis, TN, 38119-4831
Phone Number
901-415-2536
Fax Number
901-415-6292
Provider Enumeration Date
10/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0016888 05 TN
institution
Provider Business Practice Location Address Details
Address
6363 Poplar Ave
City
State
Zip
38119-4831
Phone Number
901-415-2536
Fax Number
901-415-6292
person
Provider Business Mailing Address Details
Address
6363 Poplar Ave
City
State
Zip
38119-4831
Phone Number
901-415-2536
Fax Number
901-415-6292
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
DS7318 (Tennessee)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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