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Dr. David Crockett Blythe JR., DDS
Oral and Maxillofacial Surgery (Dentist) in Houma, Louisiana
NPI 1730249541

David Crockett Blythe JR. is a Oral and Maxillofacial Surgery (Dentist) based in Houma, LA and is specialized in Oral and Maxillofacial Surgery. David Crockett Blythe JR. practices in Houma, LA and has the professional credentials of DDS. The NPI Number for David Crockett Blythe JR. is 1730249541 and holds a License No. 2345 (Louisiana).

The current practice location address for David Crockett Blythe JR. is 401 Liberty St, Houma, LA and can be reached out via phone at 985-851-3710 and via fax at 985-851-3711.

Location: 401 Liberty St, Houma, LA, 70360-4617
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Provider Profile Details
NPI Number
1730249541
Provider Name
David Crockett Blythe JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
401 Liberty St, Houma, LA, 70360-4617
Phone Number
985-851-3710
Fax Number
985-851-3711
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1823457 05 LA
institution
Provider Business Practice Location Address Details
Address
401 Liberty St
City
State
Zip
70360-4617
Phone Number
985-851-3710
Fax Number
985-851-3711
person
Provider Business Mailing Address Details
Address
401 Liberty St
City
State
Zip
70360-4617
Phone Number
985-851-3710
Fax Number
985-851-3711
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
2345 (Louisiana)
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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