Roselyn L. Blankenship, R.D.H.
Individual provider Active NPI Dental Hygienist · Rogersville, TN
NPI 1821140344 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1821140344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- DH0000004637 (TN)
- Practice address
- 201 Park Blvd
Rogersville, TN 37857-2919 - Phone
- (423) 272-7641
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| DH0000004637 | TN | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH0000004637 | TN | Yes |
Addresses
Primary practice location
201 Park Blvd
Rogersville, TN 37857-2919
Mailing address
104 Lauren Dr
Rogersville, TN 37857-8616
Phone (423) 345-3096
Other providers in Rogersville, TN
- Brandy Reshea Ball
- Richard Zachary Barnett
- James Keith Begley
- Julianne Summer Begley
- Julia A Bentley
- Tracy R Blevins
- Blue Ridge Medical Management Corporation
- Blue Ridge Medical Management Corporation
- Brance E. Hagood
- Noah D Britton III
All providers in Rogersville, TN · Dental Hygienist in Tennessee
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.