| Ed Blanton, Dds, Pa | |
|
2149 Us Highway 441 Leesburg FL 34748-2541 | |
| (352) 728-6600 | |
| (352) 728-0585 |
| Full Name | Ed Blanton, Dds, Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2149 Us Highway 441, Leesburg, Florida |
| Authorized Official Name and Position | Esmond Edward Blanton (OWNER) |
| Authorized Official Contact | 3527286600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ed Blanton, Dds, Pa 2149 Us Highway 441 Leesburg FL 34748-2541 Ph: (352) 728-6600 | Ed Blanton, Dds, Pa 2149 Us Highway 441 Leesburg FL 34748-2541 Ph: (352) 728-6600 |
| NPI Number | 1558332056 |
|---|---|
| Provider Enumeration Date | 02/01/2006 |
| Last Update Date | 07/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558332056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN0007820 (Florida) | Primary |
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