Ellen Blattel
Dental Public Health
4300 Gravois Rd
House Springs
, Missouri 63051-2304
Ellen Blattel
Dental Public Health
4300 Gravois Rd
House Springs
, Missouri 63051-2304
(636) 321-0135
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Ellen Blattel
- 849 Jeffco Blvd
- Arnold, MO
- Zip : 63010-1409
- Phone : (636) 321-0135
Second Address
- Ellen Blattel
- 4300 Gravois Rd
- House Springs, MO
- Zip : 63051-2304
- Phone : (636) 321-0135
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 2016011193 | MO |
National Provider Identifier
| NPI | 1083054076 |
|---|---|
| Provider Name | Ellen Blattel |
| First Address | Arnold, MO 63010-1409 |
| Second Address | House Springs, MO 63051-2304 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2013 |
| Last Update Date | 27/03/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.