M. Clark Blanchard DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6195 Issued in WA

Legal business name

M. CLARK BLANCHARD DDS PLLC

Practice address

4301 Factoria Blvd SE
Suite a
Bellevue, WA 98006-1982

Phone

(425) 641-8600

Fax

(425) 641-7730

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Milton Clark Blanchard, D.D.S.NPI 1902901416

Title

Owner

Phone

(425) 641-8600

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Milton Clark Blanchard, D.D.S.

  • General Practice Dentistry
  • Bellevue, WA
  • NPI 1902901416
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407953862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 FACTORIA BLVD SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061982",
            "telephone_number": "425-641-8600",
            "fax_number": "425-641-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 FACTORIA BLVD SE",
            "address_2": "SUITE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061982",
            "telephone_number": "425-641-8600",
            "fax_number": "425-641-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. CLARK BLANCHARD DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLANCHARD",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-641-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "6195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Lyons
• Suzanne Jeanette Lyons, LICSW
• Min Kyung Lyou, AGPCNP
• Tetyana Lysak, PHD, LMP
• Shirley E Lytle
• M. Ko and a. Ko, PLLC (Dr. Michelle Ko, DDS MS)
• Chu Jian Ma, MD
• Jian F. Ma, M.D.
• Ruqian Ma, PHD
• Shuo Ma

• General Practice Dentistry in Bellevue, WA
• Providers in Bellevue, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.