Organization · Type 2 NPI

Charlton Bryan Blakeney D.m.d.

General Practice Dentistry · Gulfport, MS

NPI number 1417352204 Active

Practice location

12182 Highway 49
Gulfport, MS 39503-3125

Call (228) 832-4224 Map

Fax (228) 832-4896

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

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.

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About NPI 1417352204

Charlton Bryan Blakeney D.m.d.'s National Provider Identifier is 1417352204, issued on Oct 23, 2014. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Gulfport, MS. The record was last updated on Oct 23, 2014.