Ammon, Blaine

Ammon, Blaine is an sole proprietor health care provider with primary practice located at 375 Kelsey Ln Ste 1 , Lenoir City TN 37772-6480. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Dentist is his primary health care specialty. Ammon, Blaine can be contacted via phone (865) 317-4353.

Contact Information

Primary practice address
375 Kelsey Ln Ste 1 Lenoir City TN 37772-6480
Phone: (865) 317-4353
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 11393 Tennessee
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1558988493
LBN Legal business name Ammon, Blaine
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2020
Last updated Jul 28th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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