Individual
THOMAS J BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1658 CAMPBELL LANE, BOWLING GREEN, KY 42104
(270) 781-4906
Mailing address
1658 CAMPBELL LANE, BOWLING GREEN, KY 42104
(270) 781-4906
(270) 781-4912
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3665
KY
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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