| Carl E Blevins, DMD | |
|
138 S Carol Malone Blvd, Grayson, KY 41143-1352 | |
| (606) 474-5600 | |
| (606) 474-5600 |
| Full Name | Carl E Blevins |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 138 S Carol Malone Blvd, Grayson, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124171129 | NPI | - | NPPES |
| FEIN | Other | KY | 61-1285450 |
| 60069218 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6921 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Carl E Blevins, DMD 138 S Carol Malone Blvd, Grayson, KY 41143-1352 Ph: (606) 474-5600 | Carl E Blevins, DMD 138 S Carol Malone Blvd, Grayson, KY 41143-1352 Ph: (606) 474-5600 |
Dr. Richard C Justice, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 132 Interstate Dr Ste 2, Grayson, KY 41143 Phone: 606-474-5193 Fax: 606-474-5338 | |
Dr. Cody Douglas Campbell, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 132 Interstate Dr # 2, Grayson, KY 41143 Phone: 606-474-5193 |