Organization · Type 2 NPI
Bryan Keith Blankenship DDS PA
Dental Clinic/Center · Ponte Vedra, FL
NPI number
1013179258
Active
Practice location
5000 Sawgrass Village Cir, Suite 23
Ponte Vedra, FL 32082-5045
Fax (904) 280-0079
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 193344 (FL) |
Dental Clinic/Center: Definition to come...
3 other providers at this address
Other dental clinic/center providers in Ponte Vedra
About NPI 1013179258
Bryan Keith Blankenship DDS PA's National Provider Identifier is 1013179258, issued on Jun 30, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Ponte Vedra, FL. The record was last updated on Apr 6, 2011.