# ED BLANTON, DDS, PA

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

## Provider details

- **NPI number:** 1558332056
- **Authorized official:** DR. ESMOND EDWARD BLANTON (OWNER)
- **Authorized official phone:** (352) 728-6600

## Contact information

- **Practice address:** 2149 US HIGHWAY 441, LEESBURG, FL 34748-2541
- **Practice address phone:** (352) 728-6600
- **Practice address fax:** (352) 728-0585
- **Mailing address:** 2149 US HIGHWAY 441, LEESBURG, FL 34748-2541
- **Mailing address phone:** (352) 728-6600
- **Mailing address fax:** (352) 728-0585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DN0007820 | FL | Yes |

## Other

- **Enumeration date:** 02/01/2006
- **Last updated:** 07/13/2007