Individual provider · Type 1 NPI

Michael D. Blen, DDS

Pediatric Dentistry · Memphis, TN

NPI number 1174511604 Active

Practice location

6363 Poplar Ave, Suite 110
Memphis, TN 38119-4831

Call (901) 415-2536 Map

Fax (901) 415-6292

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDS7318 (TN)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1174511604

Michael D. Blen, DDS's National Provider Identifier is 1174511604, issued on Oct 10, 2005. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Memphis, TN. The record was last updated on Jul 9, 2007.