Individual
DR. PETER TIMOTHY BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
623 MAIN ST, OLEAN, NY 14760-1532
(716) 375-7306
(716) 375-7463
Mailing address
623 MAIN ST, OLEAN, NY 14760-1532
(716) 375-7306
(716) 375-7463
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
056537
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D16672
MI
Other
Enumeration date
10/13/2006
Last updated
05/12/2014
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