# BLANDING DENTAL ASSOCIATES P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013562941
- **Authorized official:** DR. JOHN CHAMBERLAIN DMD (PRESIDENT)
- **Authorized official phone:** (596) 447-8838

## Contact information

- **Practice address:** 767 BLANDING BLVD STE 108, ORANGE PARK, FL 32065-5788
- **Practice address phone:** (904) 272-6244
- **Mailing address:** 767 BLANDING BLVD STE 108, ORANGE PARK, FL 32065-5788
- **Mailing address phone:** (904) 272-6244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | — | — | Yes |

## Other

- **Enumeration date:** 08/07/2019
- **Last updated:** 08/07/2019