Blaylock, N Bill

Blaylock, N Bill is an individual health care provider with primary practice located at 131 Foy Dr Suite C, Rocky Mount NC 27804-2448. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Blaylock, N Bill can be contacted via phone (252) 443-6443.

Contact Information

Primary practice address
131 Foy Dr Suite C Rocky Mount NC 27804-2448
Fax: (252) 443-0043
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4747 North Carolina

Profile Details

NPI number 1972512028
LBN Legal business name Blaylock, N Bill
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1972512028 NPPES
North Carolina MEDICAID 8990846

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