Carter L Blevins Dmd, NPI 1073653853
Oral and Maxillofacial Surgery (Dentist) in Somerset, KY, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1073653853
NPI Entity Type Organization
Provider Name Carter L Blevins Dmd
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 176 Southport Drive, Somerset, KY, US
Provider Mailing Address 176 Southport Drive, Somerset, KY, US, 425014149
Is Sole Proprietor? No
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Organization Official

Official Name DR. DMD Carter L Blevins
Official Position OWNER ORAL SURGEON
Phone 606-679-7562

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

1223S0112X

Taxonomy Name Oral and Maxillofacial Surgery (Dentist)
Classification

Dentist

Group

Dental Providers

License No. 4201
License State KY
Description 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.

Business Address

Carter L Blevins Dmd
176 Southport Drive

Somerset, KY, US

Phone: 606-679-7562
Fax: 606-677-2557

Mailing Address

Carter L Blevins Dmd
176 Southport Drive
Somerset, KY, US
ZIP 425014149
Phone: 606-679-7562
Fax: 606-677-2557

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
000000217071 KY BCBS 01
64042013 KY MEDICAID MEDICAL 01
60042017 KY MEDICAID 05

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Organization

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D.O. William B Webb

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PA-C Brittney R. Judhan

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MD Brett E Jarrell

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APRN Danny Brent Newsome

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DO John M Fleming

Individual

Family Medicine Physician

911 Bypass Rd Bldg A

Pikeville, KY

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