Provider Demographics
NPI:1629135892
Name:BLES, PAUL T (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:T
Last Name:BLES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5709 TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63129-4221
Mailing Address - Country:US
Mailing Address - Phone:314-846-5000
Mailing Address - Fax:314-846-5108
Practice Address - Street 1:5709 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63129-4221
Practice Address - Country:US
Practice Address - Phone:314-846-5000
Practice Address - Fax:314-846-5108
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0118891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice