Individual provider · Type 1 NPI

Kelli Jean Brunk Blank, DMD

Dentist · Vandalia, IL

NPI number 1730475617 Active

Practice location

607 W Orchard St
Vandalia, IL 62471-1234

Fax (618) 283-2113

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019028666 (IL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1730475617

Kelli Jean Brunk Blank, DMD's National Provider Identifier is 1730475617, issued on Jun 20, 2011. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Vandalia, IL. The record was last updated on Aug 17, 2015.