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Contact Information

CHARLTON BRYAN BLAKENEY D.M.D.
12182 HIGHWAY 49
GULFPORT, MS39503-3125
 Phone: 228-832-4224
 Fax: 228-832-4896
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for CHARLTON BRYAN BLAKENEY D.M.D.

NPI # 1417352204
LBN Legal business name CHARLTON BRYAN BLAKENEY D.M.D.
Authorized official KAREN BLAKENEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2014
Last updated 10/23/2014 - About 12 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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