Organization · Type 2 NPI
The Blevins Legacy Dental
General Practice Dentistry · Proctorville, OH
NPI number
1053409490
Active
Practice location
148 State Route 775
Proctorville, OH 45669-8839
Fax (740) 886-5518
Mailing address
PO Box 459
Proctorville, OH 45669-0459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 21386 (OH) |
| General Practice Dentistry | 1223G0001X | 3484 (WV) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Another provider at this address
About NPI 1053409490
The Blevins Legacy Dental's National Provider Identifier is 1053409490, issued on Oct 11, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Proctorville, OH. The record was last updated on Aug 22, 2020.