Individual
DR. RICKY LEE BLEDSOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
115 MAIN ST, WHITMIRE, SC 29178-1345
(803) 694-2382
(803) 694-2383
Mailing address
115 MAIN ST, WHITMIRE, SC 29178-1345
(803) 694-2382
(803) 694-2383
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2153
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z21539
—
SC
Enumeration date
12/16/2006
Last updated
07/08/2007
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