Blitz Family Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BLITZ FAMILY DENTAL, LLC

Practice address

55 N Main St
Bainbridge, NY 13733-1225

Phone

(607) 967-2051

Fax

(607) 967-7477

NPI assigned

Feb 17, 2014

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Paul Blitz, D.D.S.NPI 1548265978

Title

Partner

Phone

(607) 967-2051

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Robert P Blitz, D.D.S.

  • General Practice Dentistry
  • Bainbridge, NY
  • NPI 1548265978
  NPD (past) Authorized official
• Leah Liddle Blitz, DMD

  • General Practice Dentistry
  • Lisle, NY
  • NPI 1811237167
  NPD (past)
• David A. Rogers, DMD

  • General Practice Dentistry
  • Johnson City, NY
  • NPI 1063662930
  NPD (past)

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831513548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 N MAIN ST",
            "city": "BAINBRIDGE",
            "state": "NY",
            "postal_code": "137331225",
            "telephone_number": "607-967-2051",
            "fax_number": "607-967-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N MAIN ST",
            "city": "BAINBRIDGE",
            "state": "NY",
            "postal_code": "137331225",
            "telephone_number": "607-967-2051",
            "fax_number": "607-967-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLITZ FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BLITZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "607-967-2051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bainbridge Pharmacy Inc
• Bainbridge-Guilford Central School
• Bainbridge-Guilford Central School
• Katherine Lynne Beames
• Teresa Joan Bedford, LPN
• Robert P Blitz, D.D.S.
• Khalid Rashid Butt, M.D.
• Michelle Marie Castle, LPTA
• Shelly Marie Champlin, LPN
• Kelly Anne Cirigliano, RN

• Dental Clinic/Center in Bainbridge, NY
• Providers in Bainbridge, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.