CARTER L BLEVINS DMD NPI 1073653853

NPI Information

  • NPI: 1073653853
  • Provider Name: CARTER L BLEVINS DMD
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 176 SOUTHPORT DRIVE
    SOMERSET, KY
    ZIP 42501
  • Phone: (606) 679-7562

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NPI Details

CARTER L BLEVINS DMD is an oral and maxillofacial surgery dentist in Somerset, KY. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. CARTER L BLEVINS DMD NPI is 1073653853. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

176 SOUTHPORT DRIVE
SOMERSET, KY
ZIP 42501-149
Phone: (606) 679-7562
Fax: (606) 677-2557

The provider's authorized official is Carter L Blevins .
The authorized official title is Owner Oral Surgeon and has the following contact phone number (606) 679-7562.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 2/7/2011.

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
11223S0112XDentistOral and Maxillofacial Surgery4201KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
164042013OTHERKENTUCKYMEDICAID MEDICAL
2000000217071OTHERKENTUCKYBCBS
31302001MEDICARE ID-TYPE UNSPECIFIED
460042017MEDICAIDKENTUCKY
5T54052MEDICARE UPIN

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: 3/30/2025

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