CHARLTON BRYAN BLAKENEY D.M.D.
NPI 1417352204
Dentist - General Practice in Gulfport, MS

Active since October 23, 2014
12182 HIGHWAY 49, GULFPORT, MS 39503(228) 832-4224(228) 832-4896 Get Directions Write a Review

NPPES record last updated: October 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charlton Bryan Blakeney D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLTON BRYAN BLAKENEY D.M.D. (NPI 1417352204) is a healthcare organization registered as a general practice in Gulfport, Mississippi and active in the NPI registry since October 2014. The organization lists Karen Blakeney, Owner, as its authorized official.

NPPES Registry Identity

NPI1417352204
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCHARLTON BRYAN BLAKENEY D.M.D.
Location Address12182 HIGHWAY 49Gulfport, MS 39503-3125
Mailing Address12182 Highway 49Gulfport, MS 39503-3125 · (228) 832-4224 · Fax (228) 832-4896
Fax(228) 832-4896
Organization SubpartNo
Authorized OfficialKaren BlakeneyOwner · (228) 896-0019
Enumeration DateOctober 23, 2014
NPI 1417352204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
12182 HIGHWAY 49, Gulfport, MS 39503

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
12182 HIGHWAY 49
GULFPORT, MS 39503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charlton Bryan Blakeney D.M.D.'s NPI number?

The NPI number for Charlton Bryan Blakeney D.M.D. is 1417352204. It was assigned to this organization in the NPPES registry on October 23, 2014.

Where is Charlton Bryan Blakeney D.M.D. located?

Charlton Bryan Blakeney D.M.D. is located at 12182 Highway 49, Gulfport, MS 39503. The listed phone number is (228) 832-4224.

What is Charlton Bryan Blakeney D.M.D.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Charlton Bryan Blakeney D.M.D. was last updated on October 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.