Thomas J Blevins, DMD Valid NPI

Individual provider · Dentist · Bowling Green, KY

NPI

1659496008

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

3665 (KY)

Sex

Male

Sole proprietor

No

Enumerated

2007-03-21

Last updated

2007-07-08