Dr Ted Craig Bleckstein, DDS, MS is a
Dentist - Periodontics based in Afton, Tennessee. Dr Ted Craig Bleckstein is licensed to practice in Tennessee (license number 9090) and his current practice location is
1085 River Village Ln, Afton, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 639-4462.
NPI number for Dr Ted Craig Bleckstein is 1407030158 and his current mailing address is 1085 River Village Ln, Afton, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407030158.
Healthcare Provider's Profile
Full Name | Dr Ted Craig Bleckstein |
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Gender | Male |
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Speciality | Dentist - Periodontics |
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Location | 1085 River Village Ln, Afton, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407030158
- Provider Enumeration Date: 12/18/2007
- Last Update Date: 09/26/2010
Medical Identifiers
Medical identifiers for Dr Ted Craig Bleckstein such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407030158 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223P0300X | Dentist - Periodontics | 9090 (Tennessee) | 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 Ted Craig Bleckstein 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 Ted Craig Bleckstein, DDS, MS 1085 River Village Ln, Afton, TN 37616-6219 Ph: (423) 639-4462 | Dr Ted Craig Bleckstein, DDS, MS 1085 River Village Ln, Afton, TN 37616-6219 Ph: (423) 639-4462 |
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