Organization
THE BLEVINS LEGACY DENTAL
Active
Other names
Legacy Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE LYNN BLEVINS D.D.S. (DENTIST/OWNER)
(740) 886-7000
Entity
Organization
Contact information
Practice address
148 STATE ROUTE 775, PROCTORVILLE, OH 45669-8839
(740) 886-7000
(740) 886-5518
Mailing address
PO BOX 459, PROCTORVILLE, OH 45669-0459
(740) 886-7000
(740) 886-5518
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21386
OH
1223G0001X
General Practice Dentistry
3484
WV
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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