Individual
DR. CARTER L BLEVINS
Active
Individual
DR. CARTER L BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4201
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000217071
BCBS
KY
05
—
60042017
—
KY
01
—
64042013
MEDICAL
KY
05
—
64042013
—
KY
Enumeration date
12/28/2006
Last updated
02/07/2011
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