Blansett, Jonathan Andrew
Blansett, Jonathan Andrew is an individual health care provider with primary practice located at 2522 S Pinnacle Hills Pkwy Ste 102 , Rogers AR 72758-1415. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Blansett, Jonathan Andrew can be contacted via phone (479) 282-2812.Contact Information
Primary practice address
2522 S Pinnacle Hills Pkwy Ste 102
Rogers AR 72758-1415
Phone: (479) 282-2812
Fax: (479) 936-8660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 27107 | Texas |
| Dental Providers / Periodontics | 1223P0300X | 3958 | Arkansas |
| Dental Providers / Periodontics | 1223P0300X | 3958(DDS); 37(PERIO) | Arkansas |
Profile Details
| NPI number | 1376821181 |
|---|---|
| LBN Legal business name | Blansett, Jonathan Andrew |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2011 |
| Last updated | Mar 18th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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