PETER J. BLODGETT DDS NPI 1003660507

NPI Information

NPI: 1003660507
Provider Name: PETER J. BLODGETT, DDS
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
108 5TH AVE
DECORAH, IA
ZIP 52101
Phone: (563) 382-3657
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PETER J. BLODGETT, DDS is a dental clinic center in Decorah, IA. PETER J. BLODGETT, DDS NPI is 1003660507. The provider is registered as an organization entity type.

The provider's business location address is:

108 5TH AVE
DECORAH, IA
ZIP 52101-319
Phone: (563) 382-3657
Fax: (563) 382-0739

The provider's authorized official is Peter Blodgett .
The authorized official title is Dentist - Owner and has the following contact phone number (563) 382-3657.

The enumeration date for this NPI number is 4/12/2024 and was last updated on 4/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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