Blanca Lilia Fernandez, DOCTOR OF DENTAL MED

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN18683 Issued in FL

Practice address

5163 US Highway 98 S
Lakeland, FL 33812

Phone

(330) 475-3654

NPI assigned

Jul 2, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1760611412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 VINTAGE VIEW AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338125057",
            "telephone_number": "863-647-1954",
            "fax_number": "863-647-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5163 US HIGHWAY 98 S",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33812",
            "telephone_number": "330-475-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "BLANCA",
        "middle_name": "LILIA",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF DENTAL MED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Ferguson-Gilzean, RPH
• Alexis Ferguson, M.D.
• John Scott Ferguson, D.O.
• Philip John Ferkler, M.D.
• Amber Haley Fernandez, CRNA
• Joel Fernandez, M.D.
• Julio Fernandez Jr.
• Lisandra Fernandez
• Lisbania Fernandez
• Mariana Fernandez, MD

• General Practice Dentistry in Lakeland, FL
• Providers in Lakeland, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.