Individual
MR. DONALD E BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2100 16TH AVE S, GREAT FALLS, MT 59405
(406) 771-4364
(406) 268-3720
Mailing address
2100 16TH AVE S, GREAT FALLS, MT 59405
(406) 771-4364
(406) 268-3720
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
420939448
MT
1223G0001X
General Practice Dentistry
Primary
DENDENLIC1266
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12664
BCBS
MT
Enumeration date
01/10/2007
Last updated
01/18/2017
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