CHARLTON BRYAN BLAKENEY D.M.D. NPI 1417352204

NPI Information

CHARLTON BRYAN BLAKENEY D.M.D. is a general practice dentist in Gulfport, MS. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. CHARLTON BRYAN BLAKENEY D.M.D. NPI is 1417352204. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12182 HIGHWAY 49
GULFPORT, MS
ZIP 39503-125
Phone: (228) 832-4224
Fax: (228) 832-4896

The provider's authorized official is Karen Blakeney .
The authorized official title is Owner and has the following contact phone number (228) 896-0019.

The enumeration date for this NPI number is 10/23/2014 and was last updated on 10/23/2014.

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:

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