Bean, Blake
Bean, Blake is an sole proprietor health care provider with primary practice located at 1600 Hwy 287 N. Frontage Rd Suite 102, Mansfield TX 76063. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bean, Blake can be contacted via phone (817) 473-9501.Contact Information
Primary practice address
1600 Hwy 287 N. Frontage Rd Suite 102
Mansfield TX 76063
Phone: (817) 473-9501
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 37249 | Texas |
Profile Details
| NPI number | 1336719673 |
|---|---|
| LBN Legal business name | Bean, Blake |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2021 |
| Last updated | Jun 29th, 2021 - about 3 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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