Blodgett, Kris M
Blodgett, Kris M is an sole proprietor health care provider with primary practice located at 354 W Adams St , Sisters OR 97759-0901. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Blodgett, Kris M can be contacted via phone (541) 549-0973.Contact Information
Primary practice address
354 W Adams St
Sisters OR 97759-0901
Phone: (541) 549-0973
Fax: (541) 549-9542
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D8230 | Oregon |
Profile Details
| NPI number | 1073686663 |
|---|---|
| LBN Legal business name | Blodgett, Kris M |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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