Trevor C. Blattner, DDS, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2010016312 Issued in MO

Legal business name

TREVOR C. BLATTNER, DDS, PC

Doing business as

Blattner Endodontic Care

Practice address

1345 N Mount Auburn Rd Ste B
Cape Girardeau, MO 63701-1727

Phone

(573) 803-2501

NPI assigned

Jul 5, 2013

Last updated

Jul 5, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Trevor C Blattner, D.D.S., MSNPI 1588935621

Title

Owner

Phone

(573) 979-0040

Specialties & licenses 1

Addresses

Other names 1

• Blattner Endodontic Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Trevor Charles Blattner, D.D.S.

  • Dentist
  • Westminster, MD
  • NPI 1588935621
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372982400000",
    "number": "1912348947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 N MOUNT AUBURN RD STE B",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637011727",
            "telephone_number": "573-803-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 N MOUNT AUBURN RD STE B",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637011727",
            "telephone_number": "573-803-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREVOR C. BLATTNER, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-05",
        "last_updated": "2013-07-05",
        "status": "A",
        "authorized_official_last_name": "BLATTNER",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-979-0040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "2010016312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blattner Endodontic Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Lee Tracy, F.N.P.
• Lauren Michelle Tracy, MA, PLPC
• Marshall Trawick III, FNP
• Katrina Ann Trentham, PHARMD
• Jacqueline A Treschuk-Bahn, MD
• Madison Joy Tripp, PHARMD
• Andrew Cooper Trueblood, M.D.
• Michael Clarke Trueblood, MD
• Stasha L Tubbs
• Claudia Yvonne Tucker, LMSW

• Dental Clinic/Center in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.