Peter J Blank, D.D.S.
Individual provider Active NPI General Practice Dentistry · Hebron, IN
NPI 1912902883 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1912902883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12009167 (IN)
- Practice address
- 192 Professional CT
Hebron, IN 46341-8948 - Phone
- (219) 996-5606
- Fax
- (219) 996-5601
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12009167 | IN | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12009167 | IN | Yes |
Addresses
Primary practice location
192 Professional CT
Hebron, IN 46341-8948
Mailing address
192 Professional CT
Hebron, IN 46341-8948
Phone (219) 996-5606
Other providers in Hebron, IN
- Charina F Alma Jose
- Milan Andjelich
- Arc Bridges, Inc.
- Stephanie L Bartz Hudson
- Carla K Brink
- Kiera Faith Brummet
- Carla K. Brink, D.D.S., P.C.
- Dedicated Family Health
- Mark Robert Detert
All providers in Hebron, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. 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.