Michael D. Blen in Memphis - Pediatric Dentistry
Michael D. Blen - NPI 1174511604
Michael D. Blen is a Pediatric Dentistry in Memphis, Tennessee. Michael D. Blen practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Michael D. Blen is 1174511604. The last update date is 2007-07-09.
Michael D. Blen's current location address is 6363 Poplar Ave, Memphis, Tennessee. You can contact this provider via phone number 9014152536 and fax number 9014156292. The mailing address for Michael D. Blen is 6363 Poplar Ave, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael D. Blen |
|---|---|
| Address | 6363 Poplar Ave, Memphis, Tennessee |
| Phone Number | 9014152536 |
| Fax Number | 9014156292 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1174511604 |
|---|---|
| Provider Enumeration Date | 2005-10-10 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 6363 Poplar Ave |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381194831 |
| Phone Number | 9014152536 |
| Fax Number | 9014156292 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DS7318 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16888 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Michael D. Blen by the Centers for Medicare & Medicaid Services?
The Michael D. Blen has been issued the NPI (National Provider Identifier) 1174511604 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Michael D. Blen?
The Michael D. Blen is situated at 6363 Poplar Ave, in the city of Memphis, state of TN, with the zip code 381194831.
What is Michael D. Blen's area of expertise and its corresponding taxonomy classification?
The Michael D. Blen's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1174511604 assigned to Michael D. Blen?
The Michael D. Blen was issued its 1174511604 on 2005-10-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Michael D. Blen most recently updated or revised?
The information pertaining to Michael D. Blen, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH