Dr Blaine Harris Conrad, DDS is a
Dentist - General Practice based in Ashville, Ohio. Dr Blaine Harris Conrad is licensed to practice in Ohio (license number 13603) and his current practice location is
22 Miller Ave, Ashville, Ohio. He can be reached at his office (for appointments etc.) via phone at
(740) 983-3151.
NPI number for Dr Blaine Harris Conrad is 1891906038 and his current mailing address is 22 Miller Ave, Ashville, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891906038.
Healthcare Provider's Profile
| Full Name | Dr Blaine Harris Conrad |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 22 Miller Ave, Ashville, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1891906038
- Provider Enumeration Date: 05/26/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Blaine Harris Conrad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891906038 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 13603 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Blaine Harris Conrad is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Blaine Harris Conrad, DDS
22 Miller Ave,
Ashville, OH 43103-1273
Ph: (740) 983-3151 | Dr Blaine Harris Conrad, DDS
22 Miller Ave,
Ashville, OH 43103-1273
Ph: (740) 983-3151 |
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