Blaney, Thomas D

Blaney, Thomas D is an individual health care provider with primary practice located at 112 N Park Dr , Fayetteville GA 30214-1645. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Blaney, Thomas D can be contacted via phone (770) 474-0007.

Contact Information

Primary practice address
112 N Park Dr Fayetteville GA 30214-1645
Fax: (770) 474-5453
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X DN008639 Georgia

Profile Details

NPI number 1861539181
LBN Legal business name Blaney, Thomas D
Credentials D.D.S,M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 2007 - about 17 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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