Blankenship Dental at Oakleaf PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

193344 Issued in FL

Legal business name

BLANKENSHIP DENTAL AT OAKLEAF PA

Practice address

5000 Sawgrass Village Cir
Suite 23
Ponte Vedra Beach, FL 32082-5045

Phone

(904) 236-8030

Fax

(574) 825-2410

NPI assigned

Jun 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Bryan Keith Blankenship, D.D.S.

Title

Dentist/Owner

Phone

(904) 236-8030

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1447411830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9590 APPLECROSS RD",
            "address_2": "SUITE 12-106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322225819",
            "telephone_number": "904-236-8030",
            "fax_number": "574-825-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 SAWGRASS VILLAGE CIR",
            "address_2": "SUITE 23",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320825045",
            "telephone_number": "904-236-8030",
            "fax_number": "574-825-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANKENSHIP DENTAL AT OAKLEAF PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "BLANKENSHIP",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "904-236-8030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "193344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxana Bermeo-Lucas, OTR
• Joanna Yeakel Berry, MS SLP
• Barbara Dulaney Bishop, ED D LMHC
• Meaghan Bizon
• David Blackmon, PH.D.
• Merralee Block, LMHC
• Sean Block
• Bombora Therapy, LLC
• Luke Maxwell Bote'
• Blake William Boudreaux, MD

• Dental Clinic/Center in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.