Individual provider · Type 1 NPI
John F. Blattner, D.M.D
Customized Equipment (DME) · Waterloo, IL
NPI number
1720008329
Active
Practice location
226 Westview Plaza Dr.
Waterloo, IL 62298-1253
Fax (618) 939-5404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 19-016532 (IL) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 019016532 (IL) |
| Customized Equipment (DME) Primary | 332BC3200X | 019016532 (IL) |
Customized Equipment (DME): Definition to come...
3 other providers at this address
Other customized equipment (dme) providers in Waterloo
About NPI 1720008329
John F. Blattner, D.M.D's National Provider Identifier is 1720008329, issued on Jul 19, 2006. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Waterloo, IL. The record was last updated on Nov 21, 2017.