Jeffrey Blank in Phoenixville - Periodontics

Jeffrey Blank - NPI 1417044710

Jeffrey Blank is a Periodontics in Phoenixville, Pennsylvania. Jeffrey Blank practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jeffrey Blank is 1417044710. The last update date is 2007-07-08.

Jeffrey Blank's current location address is 75 Foxcraft Lane, Phoenixville, Pennsylvania. You can contact this provider via phone number 6109336411 and fax number 6103278243. The mailing address for Jeffrey Blank is 75 Foxcraft Lane, Phoenixville, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Blank
Address 75 Foxcraft Lane, Phoenixville, Pennsylvania
Phone Number 6109336411
Fax Number 6103278243
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1417044710
Provider Enumeration Date 2006-10-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 75 Foxcraft Lane
City Phoenixville
State Pennsylvania (PA)
Post Code 19460
Phone Number 6109336411
Fax Number 6103278243

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No DS17608L
Definition:
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 structure

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FAQs about Jeffrey Blank

What is the Jeffrey Blank's unique identification number?

The Jeffrey Blank has been assigned the NPI (National Provider Identifier) Number 1417044710 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Jeffrey Blank is geographically located?

The Jeffrey Blank is physically situated at the following location: 75 Foxcraft Lane, Phoenixville, PA, 19460.

What is Jeffrey Blank's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jeffrey Blank is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.

On what date did the Centers for Medicare & Medicaid Services issue the 1417044710 to Jeffrey Blank?

The Jeffrey Blank received its 1417044710 assignment from the Centers for Medicare & Medicaid Services on 2006-10-06.

As of what date was the information pertaining to Jeffrey Blank, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jeffrey Blank, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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