Blankenship, Susan D
Blankenship, Susan D is an sole proprietor health care provider with primary practice located at 35036 Us Highway 19 N , Palm Harbor FL 34684-1925. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Blankenship, Susan D can be contacted via phone (727) 446-4699.Contact Information
Primary practice address
35036 Us Highway 19 N
Palm Harbor FL 34684-1925
Phone: (727) 446-4699
Fax: (727) 771-6804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN0013950 | Florida |
Profile Details
| NPI number | 1679699383 |
|---|---|
| LBN Legal business name | Blankenship, Susan D |
| Credentials | DMD INC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Oct 3rd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679699383 | NPPES |
| Florida | MEDICAID | 071201900 |
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