Individual
BAYLEE ELIZABETH BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
207 BRANTLEY ACRES RD, SPEEDWELL, TN 37870-6104
(270) 564-6137
Mailing address
207 BRANTLEY ACRES RD, SPEEDWELL, TN 37870-6104
(270) 564-6137
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10787
KY
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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