Individual
DR. NICHOLAS THEODORE BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
320 CENTER ST STE G2, CHARDON, OH 44024-1165
(440) 473-3338
Mailing address
5507 MAYFIELD RD, LYNDHURST, OH 44124-2913
(440) 473-3338
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.025468
OH
Other
Enumeration date
06/21/2018
Last updated
05/17/2024
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