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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

NPI # 1184782518
LBN Legal business name TERRY C BLANKS JR DDS PA
Authorized official TERRY BLANKS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2006
Last updated 11/19/2012 - About 14 years ago
Identifiers
FL License # 005526
FL Medicaid 077171600
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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