Tollison, Blake Lewis
Tollison, Blake Lewis is an sole proprietor health care provider with primary practice located at 20 Creekview Ct Ste A , Greenville SC 29615-4800. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Tollison, Blake Lewis can be contacted via phone (864) 329-1971.Contact Information
Primary practice address
20 Creekview Ct Ste A
Greenville SC 29615-4800
Phone: (864) 329-1971
Fax: (864) 329-1973
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D.6883-C1 | Alabama |
| Dental Providers / Dentist | 122300000X | 8950 | South Carolina |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 10920 | South Carolina |
Profile Details
| NPI number | 1629517719 |
|---|---|
| LBN Legal business name | Tollison, Blake Lewis |
| Credentials | DMD, MSD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2017 |
| Last updated | May 12th, 2025 - about last year |
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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