Ed Blanton, Dds, PA

NPI #1558332056 in Leesburg, Florida

Provider Information

NPI Number: 1558332056
Entity Type: Organization
Organization Name: Ed Blanton, Dds, PA
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Feb 1, 2006
Last Updated: Jul 13, 2007

Practice Location

Address: 2149 US HIGHWAY 441
City: Leesburg
State: Florida
ZIP Code: 34748-2541
Phone: (352) 728-6600

Authorized Official

Name: DR. ESMOND EDWARD BLANTON
Title: OWNER
Phone: (352) 728-6600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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