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Individual

DR. ALAN O. BLANTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
362 NEW BYHALIA RD, SUITE 3, COLLIERVILLE, TN 38017-3731
(901) 853-8116
(901) 853-0134
Mailing address
362 NEW BYHALIA RD, SUITE 3, COLLIERVILLE, TN 38017-3731
(901) 853-8116
(901) 853-0134

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS00004231
TN
1223G0001X
General Practice Dentistry
DS004231
TN

Other

Enumeration date
08/15/2006
Last updated
01/10/2023
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