Individual provider · Type 1 NPI
Ted Craig Bleckstein, DDS, M.S.
Periodontics · Afton, TN
NPI number
1407030158
Active
Practice location
1085 River Village Ln
Afton, TN 37616-6219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 9090 (TN) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1407030158
Ted Craig Bleckstein, DDS, M.S.'s National Provider Identifier is 1407030158, issued on Dec 18, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Afton, TN. The record was last updated on Sep 26, 2010.