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DR. JEFFREY C BLANKENSHIP DMD

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1881738557

Individual Registrant:
DR. JEFFREY C BLANKENSHIP DMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1505 LILBURN STONE MOUNTAIN RD SUITE 130 STONE MOUNTAIN, GA 30087-1857 US
Tel: 770-879-0732  Fax: 770-879-0869

Contact information for business:
1505 LILBURN STONE MOUNTAIN RD SUITE 130 STONE MOUNTAIN, GA 30087-1857 US
Tel: 770-879-0732  Fax: 770-879-0869

Registration Information:
NPI: 1881738557
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
GAGA 10002

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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