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Contact Information

ELLEN BLATTEL, DDS
4300 GRAVOIS RD
HOUSE SPRINGS, MO63051-2304
 Phone: 636-321-0135
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for ELLEN BLATTEL · (Female)

NPI Number 1083054076
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/05/2013
Last updated 03/27/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2016011193
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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