DR. MICHAEL D. BLEN (NPI# 1174511604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174511604 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL D. BLEN |
| Credential | DDS |
| Practice Address |
6363 Poplar Ave Suite 110 Memphis TN 38119-4831 |
| Practice Telephone | 9014152536 |
| Practice Fax Number | 9014156292 |
| Mailing Telephone | 9014152536 |
| Mailing Fax Number | 9014156292 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DS7318 | TN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 0016888 | 05 |
| Street Address |
6363 POPLAR AVE SUITE 110 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-4831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619435799 | Micah Loyd | Counselor | 6363 Poplar Ave, Memphis, TN 38119-4831 | 2019-03-07 |
| 1538626924 | Denise Barlow | Counselor | 6363 Poplar Ave, Memphis, TN 38119-4831 | 2019-02-21 |
| 1083151625 | Kathryn Lawrence Elliott | Counselor | 6363 Poplar Ave, Suite 404, Memphis, TN 38119-4831 | 2017-01-20 |
| 1063744035 | William Hoath West | Internal Medicine | 6363 Poplar Ave, Suite 340, Memphis, TN 38119-4831 | 2010-02-02 |
| 1215078589 | Jack Wohrman II | Dentist | 6363 Poplar Ave, Suite 430, Memphis, TN 38119-4831 | 2007-02-09 |
| 1235140120 | Kristen Taylor Duncan | Ophthalmology | 6363 Poplar Ave, Suite 101, Memphis, TN 38119-4831 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356775134 | Michael D. Blen Dds PC | Dentist | 6363 Poplar Ave Ste 110, Memphis, TN 38119-4802 | 2013-08-28 |
| 1770880064 | Miller Dental Health | Dentist | 5124 Stage Rd Ste C-2, Memphis, TN 38134-3164 | 2011-02-22 |
| 1710191812 | Ashley Suzanne Ramsey | Dentist | Ut College of Medicine 920 Madison Ave, Suite C50, Memphis, TN 38163-0001 | 2007-05-09 |
| 1538382502 | Courtney Lillianne Wilson | Dentist | 3285 Hacks Cross Rd, Ste 101, Memphis, TN 38125-8918 | 2007-04-10 |
| 1023147790 | Bradley W Wilkinson | Dentist | 5040 Sanderlin Avenue, Suite 101, Memphis, TN 38117 | 2007-03-05 |
| 1790858272 | Harry K. Sharp | Dentist | 875 Union Ave Rm S219, Memphis, TN 38163-0001 | 2006-11-15 |
| 1922197250 | Daniel Derrick Freeman | Dentist | 2567 Appling Rd, Memphis, TN 38133-5099 | 2006-10-12 |
| 1962597971 | Gregory Todd Wilkinson | Dentist | 5610 Murray Rd, Memphis, TN 38119 | 2006-10-04 |
| 1760482046 | Sheldon Maurice Graves | Dentist | 4137 Kirby Pkwy, Suite 4, Memphis, TN 38115-6532 | 2005-07-28 |
| 1649890583 | David Eugene Mcnutt | Dentist | University of Tennessee 920 Madison Ave Suite 447, Memphis, TN 38163-0001 | 2020-04-21 |
| Find all providers in MEMPHIS | ||||
Please comment or provide details below to improve the information on DR. MICHAEL D. BLEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.