Blanton Miller DDS PA

Organization Active NPI Dentist · Rutherfordton, NC

NPI 1720203250 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1720203250
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
Legal business name
BLANTON MILLER DDS PA
Practice address
363 N Main St
Rutherfordton, NC 28139-2505
Phone
(828) 287-4187
Fax
(828) 286-8649
NPI assigned
Apr 17, 2007
Organization subpart
No

Authorized official

Name
Dr. Cecil Brian Moore, DDS
Title
Dentist
Phone
(828) 287-4187

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

363 N Main St
Rutherfordton, NC 28139
Phone (828) 287-4187

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X SINGLE SPECIALTY GROUP
122300000X Yes

Addresses

Primary practice location

363 N Main St
Rutherfordton, NC 28139-2505

Mailing address

363 N Main St
Rutherfordton, NC 28139-2505
Phone (828) 287-4187

Other providers in Rutherfordton, NC

All providers in Rutherfordton, NC · Dentist in North Carolina

Sources for this page

Verify at the official NPI Registry.