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Contact Information

TERRY C BLANKS JR DDS PA
895 SOUTH DEXTER AVE
DELAND, FL32720
 Phone: 386-738-2002
 Fax: 386-738-9523
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for TERRY C BLANKS JR DDS PA · (Female)

NPI Number 1184782518
Status Active
Credentials
Entity Individual
Enumeration date 12/05/2006
Last updated 11/19/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # 005526
  • FL Medicaid 077171600
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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