Thorn, Blaine Randy

Thorn, Blaine Randy is an individual health care provider with primary practice located at 2815 W Lake Houston Pkwy Suite110, Humble TX 77339-5227. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Thorn, Blaine Randy can be contacted via phone (281) 360-5645.

Contact Information

Primary practice address
2815 W Lake Houston Pkwy Suite110 Humble TX 77339-5227
Phone: (281) 360-5645
Fax: (281) 360-8439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12079 Texas

Profile Details

NPI number 1821073628
LBN Legal business name Thorn, Blaine Randy
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
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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