Individual
DR. JEFFREY C BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1505 LILBURN STONE MOUNTAIN RD, SUITE 130, STONE MOUNTAIN, GA 30087-1857
(770) 879-0732
(770) 879-0869
Mailing address
1505 LILBURN STONE MOUNTAIN RD, SUITE 130, STONE MOUNTAIN, GA 30087-1857
(770) 879-0732
(770) 879-0869
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
GA 10002
GA
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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