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NPI Code Detail

MEDICARE: DR. STEVEN ADAM BLUM DMD

MEDICARE:  DR. STEVEN ADAM BLUM  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist3440NH

General Provider Information

NPI Number : 1316089915
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN ADAM BLUM DMD
Provider Business Mailing Address
First Line : PO BOX 155
Second Line :
City : BARTLETT
State : NH
Zip : 03812-0155
Country : US
Telephone Number : 603-374-2722
Fax Number :
Provider Business Practice Location Address
First Line : 125 PINE ST
Second Line : NORTH CONWAY DENTAL
City : N CONWAY
State : NH
Zip : 03860
Country : US
Telephone Number : 603-356-3355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 07/08/2007

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Directions to “ DR. STEVEN ADAM BLUM DMD” Practice Location

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