Individual
DR. ERIC M. BLASINGAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1919 7TH AVE S, BIRMINGHAM, AL 35233-2005
(205) 934-4551
(205) 547-0486
Mailing address
1919 7TH AVE S, BIRMINGHAM, AL 35233-2005
(205) 934-4551
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5968
AL
1223P0300X
Periodontics
61911
CA
Other
Enumeration date
09/18/2012
Last updated
07/09/2014
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