Donald Davis Blaschke, D.D.S.
Individual provider Active NPI Oral and Maxillofacial Surgery (Dentist) · Lompoc, CA
NPI 1891835161 · NPPES record last updated Oct 10, 2007
Key facts
- NPI
- 1891835161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- D22201 (CA)
- Practice address
- 1111 E Ocean Ave
Suite 9
Lompoc, CA 93436-7076 - Phone
- (805) 735-3665
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D22201 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
| 22201 | CA | MD | Acute Care Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | D22201 | CA | Yes |
Addresses
Primary practice location
1111 E Ocean Ave
Suite 9
Lompoc, CA 93436-7076
Mailing address
1111 E Ocean Ave
Suite 9
Lompoc, CA 93436-7076
Other providers in Lompoc, CA
- Katie Lee Berryman
- Mackenzy Bilkey
- Lawrence Jay Bines
- Julie Hays Biolley
- Tom E Blanco
- Julie Ann Blevins
- Cindy Blifeld
- Andrea Aylene Boardman
- Bob Nye Physical Therapy
- Humberto Bobadilla Rodriguez
All providers in Lompoc, CA · Oral and Maxillofacial Surgery (Dentist) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.