# BLITZ FAMILY DENTAL, LLC

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

## Provider details

- **NPI number:** 1831513548
- **Authorized official:** DR. ROBERT PAUL BLITZ D.D.S. (PARTNER)
- **Authorized official phone:** (607) 967-2051

## Contact information

- **Practice address:** 55 N MAIN ST, BAINBRIDGE, NY 13733-1225
- **Practice address phone:** (607) 967-2051
- **Practice address fax:** (607) 967-7477
- **Mailing address:** 55 N MAIN ST, BAINBRIDGE, NY 13733-1225
- **Mailing address phone:** (607) 967-2051
- **Mailing address fax:** (607) 967-7477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NY | Yes |

## Other

- **Enumeration date:** 02/17/2014
- **Last updated:** 07/21/2022