Individual
DR. NEIL LAWRENCE BLITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D, M.S.
Contact information
Practice address
19 CLARKES VILLAGE RD, JAMESTOWN, RI 02835-2803
(401) 556-0625
(401) 423-1416
Mailing address
19 CLARKES VILLAGE RD, JAMESTOWN, RI 02835-2803
(401) 556-0625
(401) 423-1416
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1721
RI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN12878
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NB00014
—
RI
Enumeration date
08/10/2005
Last updated
02/26/2010
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