Samuel Gregg Blanchard, D.D.S., M.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2901019904 Issued in MI

Practice address

39400 Garfield Rd Ste 200
Clinton TWP, MI 48038-4096

Phone

(586) 286-0700

NPI assigned

Jul 13, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Dr. Sam Blanchard Other name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DRS Delaney Plunkett Ralstrom Makowski Thanasas

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Clinton Township, MI
  • NPI 1851408892

  Pediatric Dentistry

  NPD (past)
• Golnick Pediatric & Adolescent Dentistry

  • Dental Clinic/Center
  • West Bloomfield, MI
  • NPI 1366611915
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1407010010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39400 GARFIELD RD STE 200",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480384096",
            "telephone_number": "586-286-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39400 GARFIELD RD STE 200",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480384096",
            "telephone_number": "586-286-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24901 Kelly Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Eastpointe",
            "state": "MI",
            "postal_code": "480211367",
            "country_code": "US",
            "telephone_number": "586-772-2090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "SAMUEL",
        "middle_name": "GREGG",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-13",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019904",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901019904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAM",
            "last_name": "BLANCHARD",
            "prefix": "DR.",
            "credential": "D.D.S., M.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Serena Beshi, PA-C
• Rajesh C Bhagat, MD
• Bhavana Vyas MD PLLC
• Phyllis Ann Billings-McNeil, L.B.S.W
• Jenay Binionscott
• Lawrence R Blaty, M.D.
• Julie Blazejewski, B.S.
• Alexandra Bloom, RN, FNP-BC
• Blooming Therapy LLC
• April Blossom, COTA/L

• Pediatric Dentistry in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Pediatric Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.