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Provider Information for 1932395639

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. ALIREZA ALLEN BLOURCHIAN DDS

Gender: MALE

Individual NPI: 1932395639

Calendar   Last Updated:  2007-09-18
  Certification Date: 

Details

Name Value
NPI 1932395639
Enumeration Date 2007-09-18
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 155 COVER DRIVE SUITE 300
FRANKLIN, TN 37067
United States

Phone: 615-591-4490 | Fax: 615-591-4412
View Map External Link
Primary Practice Address 155 COVER DRIVE SUITE 300
FRANKLIN, TN 37067
United States

Phone: 615-591-4490 | Fax: 615-591-4412
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other STATE OF TENNESSEE TN DS5340
MEDICAID TN 3206940
Other DEA BB2768856
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist TN DS5340