Stephen G. Blank, DDS, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN9155 Issued in FL

Legal business name

STEPHEN G. BLANK, DDS, PA

Doing business as

Stephen G. Blank, DDS, PA

Practice address

184 NW Central Park PLZ
Port St Lucie, FL 34986-2451

Phone

(772) 878-7348

NPI assigned

Aug 27, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Stephen G Blank, DDSNPI 1003016791

Title

President

Phone

(772) 878-7348

Specialties & licenses 1

Addresses

Other names 1

• Stephen G. Blank, DDS, PA Doing business as

Locations

Practitioners 1

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

• Stephen Gary Blank, DDS

  • General Practice Dentistry
  • Port Saint Lucie, FL
  • NPI 1003016791
  NPD Authorized official

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1699256792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 NW CENTRAL PARK PLZ",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862451",
            "telephone_number": "772-878-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 NW CENTRAL PARK PLZ",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862451",
            "telephone_number": "772-878-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN G. BLANK, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "BLANK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-878-7348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN9155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen G. Blank, DDS, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tara Donohue Stebbins, O.T. R.
• Cody W Steed, DO
• Mitchell Steele, DC
• Nicholas Steele
• Step by Step Health
• Stephen P. Davis, PH.D., P.a.
• Raymond Stephens, LCSW
• Frederick Lecompte Stevens Jr., PHD
• Carrie Lynn Stewart, M.A., CCC-SLP
• Kimberly Joan Stewart, LMT

• Dental Clinic/Center in Port St Lucie, FL
• Providers in Port St Lucie, 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 Aug 27, 2018; 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.