NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

STEPHEN G BLANK, DDS
184 NW CENTRAL PARK PLZ
PORT SAINT LUCIE, FL34986-2451
 Phone: 772-878-7348
 Fax: 772-878-7534
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for STEPHEN G BLANK · (Male)

NPI # 1003016791
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/20/2007
Last updated 07/20/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # DN9155
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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