Individual provider · Type 1 NPI
Jeffrey Blank, DDS
Periodontics · Pottstown, PA
NPI number
1417044710
Active
Practice location
22 North Prince St
Pottstown, PA 19464
Fax (610) 327-8243
Mailing address
75 Foxcraft Lane
Phoenixville, PA 19460
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | DS17608L (PA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1417044710
Jeffrey Blank, DDS's National Provider Identifier is 1417044710, issued on Oct 6, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Pottstown, PA. The record was last updated on Jul 8, 2007.