Dr Ricky Lee Bledsoe, DMD is a
Dentist based in Whitmire, South Carolina. Dr Ricky Lee Bledsoe is licensed to practice in South Carolina (license number 2153) and his current practice location is
115 Main St, Whitmire, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(803) 694-2382.
NPI number for Dr Ricky Lee Bledsoe is 1811059504 and his current mailing address is 115 Main St, Whitmire, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811059504.
Healthcare Provider's Profile
| Full Name | Dr Ricky Lee Bledsoe |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 115 Main St, Whitmire, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1811059504
- Provider Enumeration Date: 12/16/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Ricky Lee Bledsoe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811059504 | NPI | - | NPPES |
| Z21539 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 2153 (South Carolina) | 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 Ricky Lee Bledsoe 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 Ricky Lee Bledsoe, DMD
115 Main St,
Whitmire, SC 29178-1345
Ph: (803) 694-2382 | Dr Ricky Lee Bledsoe, DMD
115 Main St,
Whitmire, SC 29178-1345
Ph: (803) 694-2382 |
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