Kenneth Harold Blasing
Individual provider Active NPI General Practice Dentistry · Appleton, MN
NPI 1265634182 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1265634182
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D8173 (MN)
- Practice address
- 445 S Munsterman St
Appleton, MN 56208-2608 - Phone
- (320) 289-2052
- NPI assigned
- Jun 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D8173 | MN | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D8173 | MN | Yes |
Addresses
Primary practice location
445 S Munsterman St
Appleton, MN 56208-2608
Mailing address
412 N 3Rd St
PO 488
Atwater, MN 56209-0488
Phone (320) 974-8049
Other names
- Dr. K. H. Blasing
Other providers in Appleton, MN
- Appleton Area Health
- Appleton Area Health
- Appleton Area Health
- Appleton Dental Care, P.a.
- Florante S Austria
- Paige Brittaney Burkel
- Elizabeth Charles
- City of Appleton
- Deborah S Colon
- Conroy Eye Care, PA
All providers in Appleton, MN · General Practice Dentistry in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.