Terry C Blanks Jr Dds Pa in Deland - General Practice

Terry C Blanks Jr Dds Pa - NPI 1184782518

Terry C Blanks Jr Dds Pa is a General Practice in Deland, Florida. Terry C Blanks Jr Dds Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Terry C Blanks Jr Dds Pa is 1184782518. The last update date is 2012-11-19.

Terry C Blanks Jr Dds Pa's current location address is 895 South Dexter Ave, Deland, Florida. You can contact this provider via phone number 3867382002 and fax number 3867389523. The mailing address for Terry C Blanks Jr Dds Pa is 895 South Dexter Ave, Deland, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Terry C Blanks Jr Dds Pa
Address 895 South Dexter Ave, Deland, Florida
Phone Number 3867382002
Fax Number 3867389523
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Blanks C Terry
Credentials DDS
Telephone Number 3867382002

NPI Number Detail

NPI Number 1184782518
Provider Enumeration Date 2006-12-05
Last Updated Date 2012-11-19

Provider Mailing Address Detail

Address 895 South Dexter Ave
City Deland
State Florida (FL)
Post Code 32720
Phone Number 3867382002
Fax Number 3867389523

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5526
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
77171600 FL --

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FAQs about Terry C Blanks Jr Dds Pa

What is the Terry C Blanks Jr Dds Pa's 1184782518?

The Terry C Blanks Jr Dds Pa's NPI (National Provider Identifier) Number is 1184782518. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Terry C Blanks Jr Dds Pa?

The Terry C Blanks Jr Dds Pa is situated at 895 South Dexter Ave, in the city of Deland, state of FL, with the zip code 32720.

What is Terry C Blanks Jr Dds Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Terry C Blanks Jr Dds Pa is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1184782518 to Terry C Blanks Jr Dds Pa?

The Centers for Medicare & Medicaid Services assigned the 1184782518 to Terry C Blanks Jr Dds Pa on 2006-12-05.

As of what date were the Terry C Blanks Jr Dds Pa's details last updated?

The information pertaining to the Terry C Blanks Jr Dds Pa, including its address, specialty, and other details, was most recently updated on 2012-11-19.

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