Blew Family Dentistry, P.C. in Moline - Dentist
Blew Family Dentistry, P.C. - NPI 1548383169
Blew Family Dentistry, P.C. is a Dentist in Moline, Illinois. Blew Family Dentistry, P.C. practices all healthcare services and medical treatments related to Dentist. The NPI Number for Blew Family Dentistry, P.C. is 1548383169. The last update date is 2011-02-10.
Blew Family Dentistry, P.C.'s current location address is 604 35th Ave, Moline, Illinois. You can contact this provider via phone number 3097974336. The mailing address for Blew Family Dentistry, P.C. is 604 35th Ave, Moline, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blew Family Dentistry, P.C. |
|---|---|
| Address | 604 35th Ave, Moline, Illinois |
| Phone Number | 3097974336 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Blew Christophe Bryan |
| Credentials | D.D.S. |
| Telephone Number | 3097974336 |
NPI Number Detail
| NPI Number | 1548383169 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2011-02-10 |
Provider Mailing Address Detail
| Address | 604 35th Ave |
|---|---|
| City | Moline |
| State | Illinois (IL) |
| Post Code | 612656174 |
| Phone Number | 3097974336 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19024739 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Blew Family Dentistry, P.C.'s 1548383169?
The Blew Family Dentistry, P.C.'s NPI (National Provider Identifier) Number is 1548383169. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Blew Family Dentistry, P.C.?
The Blew Family Dentistry, P.C. is situated at 604 35Th Ave, in the city of Moline, state of IL, with the zip code 612656174.
What is Blew Family Dentistry, P.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Blew Family Dentistry, P.C.'s specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1548383169 to Blew Family Dentistry, P.C.?
The Centers for Medicare & Medicaid Services originally issued the 1548383169 to Blew Family Dentistry, P.C. on 2007-04-09.
As of what date was the information regarding Blew Family Dentistry, P.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Blew Family Dentistry, P.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-02-10.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC