Individual
BLAKE ESSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
220 SOUTHLAND DR, SIKESTON, MO 63801-4403
(573) 471-4167
(573) 471-4212
Mailing address
PO BOX 400, NEW MADRID, MO 63869-0400
(573) 748-2404
(573) 748-2554
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2014020317
MO
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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