Vincent, Blake Martin

Vincent, Blake Martin is an sole proprietor health care provider with primary practice located at 301 S Palestine St , Athens TX 75751-2509. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Vincent, Blake Martin can be contacted via phone (903) 675-1201.

Contact Information

Primary practice address
301 S Palestine St Athens TX 75751-2509
Fax: (903) 675-5463
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 16121 Texas

Profile Details

NPI number 1083747190
LBN Legal business name Vincent, Blake Martin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2007
Last updated Jul 8th, 2007 - about 18 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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