Ersteniuk, Blaire Allyn

Ersteniuk, Blaire Allyn is an individual health care provider with primary practice located at 609 S Kelly Ave Ste A1 , Edmond OK 73003-5696. She recently has 3 registered licenses in different health care specialties including Dental Providers / Periodontics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Ersteniuk, Blaire Allyn can be contacted via phone (405) 509-8932.

Contact Information

Primary practice address
609 S Kelly Ave Ste A1 Edmond OK 73003-5696
Phone: (405) 509-8932
Fax: (405) 531-0808
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 6184 Oklahoma
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X 6184 Oklahoma

Profile Details

NPI number 1962726851
LBN Legal business name Ersteniuk, Blaire Allyn
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2010
Last updated Jan 6th, 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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