Individual
DR. JAMES EDWARD BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9733 SAWMILL PKWY, POWELL, OH 43065-6101
(614) 764-1013
Mailing address
7120 DEACON CT, DUBLIN, OH 43017-7078
(614) 595-1140
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30022073
OH
1223G0001X
General Practice Dentistry
Primary
30-022073
OH
Other
Enumeration date
10/06/2006
Last updated
10/14/2019
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