Individual
DR. MIKE C BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
106 MILLSTEAD DR, MEBANE, NC 27302-7165
(919) 563-4300
Mailing address
106 MILLSTEAD DR, MEBANE, NC 27302-7165
(919) 563-4300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4323
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90842
—
NC
Enumeration date
01/22/2006
Last updated
07/12/2019
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