Organization Active NPI

Ed Blanton, DDS, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Leesburg, FL
National Provider Identifier
1558332056
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN0007820 Issued in FL
Legal business name
ED BLANTON, DDS, PA
Practice address
2149 US Highway 441
Leesburg, FL 34748-2541
Phone
(352) 728-6600
Fax
(352) 728-0585
NPI assigned
Feb 1, 2006
Last updated
Jul 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Dr. Esmond Edward Blanton
Title
Owner
Phone
(352) 728-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN0007820 FL Primary

Addresses

Primary practice location

2149 US Highway 441
Leesburg, FL 34748-2541

Mailing address

2149 US Highway 441
Leesburg, FL 34748-2541
Phone (352) 728-6600

National Provider Directory

National Provider Directory

Locations

2149 US Highway 441
Leesburg, FL 34748
Phone (352) 728-6600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1558332056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 US HIGHWAY 441",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347482541",
            "telephone_number": "352-728-6600",
            "fax_number": "352-728-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 US HIGHWAY 441",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347482541",
            "telephone_number": "352-728-6600",
            "fax_number": "352-728-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ED BLANTON, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "ESMOND",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-728-6600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN0007820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.