Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLEN BLATTEL, D.D.S.
Active Sole ProprietorDental Public Health · HOUSE SPRINGS, MO
Registration Details
- NPI Number
- 1083054076
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 5, 2013 (12.796428689917 yrs)
- Last Updated
- Mar 27, 2017
- License
-
2016011193 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4300 GRAVOIS RDHOUSE SPRINGS, MO, 630512304Browse MO providers · Browse ZIP 63051
- Phone
- 6363210135
- Primary Specialty
-
Dental Public Health
1223D0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.