Bleckstein, Ted Craig
Bleckstein, Ted Craig is an individual health care provider with primary practice located at 1085 River Village Ln , Afton TN 37616-6219. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Bleckstein, Ted Craig can be contacted via phone (423) 639-4462.Contact Information
Primary practice address
1085 River Village Ln
Afton TN 37616-6219
Phone: (423) 639-4462
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 9090 | Tennessee |
Profile Details
| NPI number | 1407030158 |
|---|---|
| LBN Legal business name | Bleckstein, Ted Craig |
| Credentials | D.D.S., M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2007 |
| Last updated | Sep 26th, 2010 - about 14 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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