Provider Demographics
NPI:1811398951
Name:BLASEIO, POPPY MONTANA-MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:POPPY
Middle Name:MONTANA-MARIE
Last Name:BLASEIO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 ELK SPRINGS CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37069-8220
Mailing Address - Country:US
Mailing Address - Phone:510-520-2713
Mailing Address - Fax:
Practice Address - Street 1:7518 HWY 70 S STE B
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-1848
Practice Address - Country:US
Practice Address - Phone:615-669-2780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-09
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN105581223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics