Dr. Carol M Blossfeld, D.D.S.
Dentist, General Practice in Edmond, OK. Individual provider (NPI-1).
NPI number1164557484
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1164557484
- Entity type
- Individual (NPI-1)
- Name
- Dr. Carol M Blossfeld
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 23, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 5271 | OK | Yes |
Practice location
3201 E Memorial RdSuite A
Edmond, OK 73013-7104
Phone 405-475-9221 · Fax 405-475-9224
Mailing address
3201 E Memorial RdSuite A
Edmond, OK 73013-7104
Phone 405-475-9221 · Fax 405-475-9224
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