Individual
DR. STEVEN PARKER BLAKENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12182 HIGHWAY 49, GULFPORT, MS 39503-3125
(228) 832-4224
(228) 832-4896
Mailing address
12182 HIGHWAY 49, GULFPORT, MS 39503-3125
(228) 832-4224
(228) 832-4896
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3991-18
MS
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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