BETHANY ANNE BLONIGEN DDS NPI 1487233888

NPI Information

NPI: 1487233888
Provider Name: BETHANY ANNE BLONIGEN, DDS
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
1500 NORTHWAY DR
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 253-7700
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Bethany Anne Blonigen, DDS is a student in an organized health care education training program in Saint Cloud, MN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Bethany Anne Blonigen, DDS NPI is 1487233888. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1500 NORTHWAY DR
SAINT CLOUD, MN
ZIP 56303-219
Phone: (320) 253-7700

The enumeration date for this NPI number is 4/5/2021 and was last updated on 4/5/2021.

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	390200000X	Student in an Organized Health Care Education/Training Program				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: 4/28/2024

NPI Synchronization or Removal

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