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Contact Information

BETH A BLAIR, DDS
100 RIVER PL
SUITE 110
MONONA, WI53716-4041
 Phone: 608-222-6160
 Fax: 608-222-6248
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Dentistry

1223P0221X
Indicates primary specialty

NPI Profile & details for BETH A BLAIR · (Female)

NPI # 1023376597
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/02/2012
Last updated 03/13/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • ND License # 2206
  • WI License # 6856-15
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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