Hamblen, Terry Lee

Hamblen, Terry Lee is an sole proprietor health care provider with primary practice located at 2320 W Bay Dr , Largo FL 33770-1975. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hamblen, Terry Lee can be contacted via phone (727) 581-3726.

Contact Information

Primary practice address
2320 W Bay Dr Largo FL 33770-1975
Fax: (727) 586-1389
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5730 Florida

Profile Details

NPI number 1508883448
LBN Legal business name Hamblen, Terry Lee
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 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 1508883448 NPPES
Florida Other TIN 59-1622406 IRS ID NUMBER

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