Individual
DR. MICHAEL BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
306 E MAIN ST, SILVERTON, OR 97381-1715
(503) 873-6118
(503) 873-8220
Mailing address
306 E MAIN ST, SILVERTON, OR 97381-1715
(503) 873-6118
(503) 873-8220
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9331
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500613587
—
OR
Enumeration date
10/27/2009
Last updated
08/28/2013
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