Bryan Keith Blankenship DDS PA
NPI #1013179258 in Ponte Vedra, Florida
Provider Information
- NPI Number
- 1013179258
- Entity Type
- Organization
- Organization Name
- Bryan Keith Blankenship DDS PA
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 30, 2008
- Last Updated
- Apr 6, 2011
Practice Location
- Address
- 5000 SAWGRASS VILLAGE CIR
- Address 2
- SUITE 23
- City
- Ponte Vedra
- State
- Florida
- ZIP Code
- 32082-5045
- Phone
- (904) 280-0070
Authorized Official
- Name
- DR. BRYAN KEITH BLANKENSHIP, DDS
- Title
- DENTIST/OWNER
- Phone
- (904) 280-0070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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