Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124171129 Individual Practitioner Male Practitioner

Dr. Carl E. Blevins , DMD

Dentist - General Practice • Grayson, KY

Professional Overview & Biography Verified Profile Summary

Dr. Carl Blevins, DMD is a registered healthcare professional specializing in Dentist - General Practice in Grayson, KY. Practice services are available at 138 S CAROL MALONE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

138 S Carol Malone Blvd

Grayson, KY 411431352

Telephone 6064745600
Fax 6064745600

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Grayson, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Grayson, KY (1699 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License KY 6921

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
60069218 (KY)
Commercial Insurance / Payer ID 61-1285450
FEIN (KY)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 01, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 01, 2012

Registered at 138 S CAROL MALONE BLVD, GRAYSON, KY 411431352 (Tel: 6064745600)

📍
Updated Business Mailing Address February 01, 2012

Registered at 138 S CAROL MALONE BLVD, GRAYSON, KY 411431352 (Tel: 6064745600)

👤
Provider Name / Credentials Updated February 01, 2012

Recorded as CARL BLEVINS, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2012

Dentist (License #6921 in KY)

🟢
Initial NPI Registration & Enumeration January 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124171129
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 21, 2007
Last Update: February 01, 2012
Sole Proprietor: Yes

Mailing Address

138 S Carol Malone Blvd

Grayson, KY 411431352

Phone: 6064745600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.