Margarete Anita Blume, DMD
Individual provider Active NPI General Practice Dentistry · Seymour, CT
NPI 1508905464 · NPPES record last updated Jan 10, 2013
Key facts
- NPI
- 1508905464
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 006578 (CT)
- Practice address
- 276 Bank St
Seymour, CT 06483-2700 - Phone
- (203) 888-7944
- Fax
- (203) 888-5397
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- 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 |
|---|---|---|---|
| 006578 | CT | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 006578 | CT | Yes |
Addresses
Primary practice location
276 Bank St
Seymour, CT 06483-2700
Mailing address
276 Bank St
Seymour, CT 06483-2700
Phone (203) 888-7944
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336370006 | Medicaid | CT |
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- Dawn Andrade
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- Donovan Beattie
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- Michele Britton
- Bruce and Marilyn Vinokur Foot Care Group LLC
- Dayton Gunji Cambra
- Campbell Telehealth
- Samuel Choi
All providers in Seymour, CT · General Practice Dentistry in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2013. 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.