DR. TED CRAIG BLECKSTEIN (NPI# 1407030158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407030158 |
| Entity Type | Individual |
| Full Name | DR. TED CRAIG BLECKSTEIN |
| Credential | D.D.S., M.S. |
| Practice Address |
1085 River Village Ln Afton TN 37616-6219 |
| Practice Telephone | 4236394462 |
| Mailing Telephone | 4236394462 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2010-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
9090 | TN | Dental Providers |
| Street Address |
1085 RIVER VILLAGE LN |
| City | AFTON |
| State | TN |
| Zip Code | 37616-6219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720501430 | Shea Price Pitts | Nurse Practitioner | 343 Pine Ridge Drive, Afton, TN 37616 | 2017-07-25 |
| 1194261354 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 2619 Erwin Highway, Afton, TN 37616 | 2017-01-12 |
| 1326584830 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 2609 Erwin Highway, Afton, TN 37616 | 2017-01-09 |
| 1669956728 | Amethyst Moriah Crawford | Specialist/Technologist | 2515 Brittontown Rd, Afton, TN 37616-3951 | 2018-09-24 |
| 1447578786 | James H. Quillen Va Medical Center | Military Hospital | 2755 Babbs Mill Rd, Afton, TN 37616-4254 | 2010-05-11 |
| 1639620537 | Denise Alder | Specialist/Technologist | 365 Ripley Island Rd, Afton, TN 37616-5860 | 2016-10-17 |
| 1467760876 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 855 Meadowbrook Rd, Afton, TN 37616-6047 | 2010-09-20 |
| 1932316627 | Kathleen H. Wright | Speech-Language Pathologist | 160 Falcon Cir, Afton, TN 37616-6152 | 2007-05-16 |
| 1588138374 | Beverly Fox | Physical Therapy Assistant | 215 Old Jonesboro Rd, Afton, TN 37616-6357 | 2019-01-15 |
| 1235469651 | Path Breakers | Case Management | 320 Preacher Laws Rd, Afton, TN 37616-6450 | 2010-01-07 |
| Find all providers in zip 37616 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518382506 | Jason Strever | Dentist | 5022 Old Godsey Ln Ste 1, Hixson, TN 37343-6604 | 2014-02-27 |
| 1295157519 | Danny Adkins, D.d.s. | Dentist | 1301 Old Weisgarber Road, Knoxville, TN 37909 | 2014-01-07 |
| 1285946517 | John David Meister | Dentist | 1177 Old Hickory Blvd., Ste. 101, Brentwood, TN 37027-4242 | 2010-07-01 |
| 1770814261 | Thomas Faerber | Dentist | 118 Medical Ct, Clarksville, TN 37043-4602 | 2010-01-22 |
| 1184875627 | Michael Patrick Madigan | Dentist | 117 Capital Dr, Knoxville, TN 37922-3393 | 2008-10-02 |
| 1659579472 | Matthew L Heaton | Dentist | 140 E Market Place Blvd, Knoxville, TN 37922 | 2007-07-03 |
| 1497959761 | Joseph Wade Gaither | Dentist | 301 Uptown Sq, Murfreesboro, TN 37129-0574 | 2007-06-12 |
| 1821206111 | Heather Keck Ridgway | Dentist | 510 Brennan Ln, Franklin, TN 37067-6235 | 2007-05-18 |
| 1376764688 | Ronald Loy Kilgore | Dentist | 8912 Town and Country Circle, Knoxville, TN 37923-4900 | 2007-05-02 |
| 1558588848 | Ronald Fulton Godat | Dentist | 210 Lockport Cir, Kingsport, TN 37664-5278 | 2007-04-19 |
| Find all providers with the same taxonomy | ||||
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| 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.