DR. BRICE BLAHNIK (NPI# 1225643307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225643307 |
| Entity Type | Individual |
| Full Name | DR. BRICE BLAHNIK |
| Credential | DDS |
| Practice Address |
1 St Dental Battalion/naval Dental Center Attn: Medical Bldg 2238 A Ave Camp Pendleton, Ca. 92055-5221 Fpo AA 92055-5221 |
| Mailing Address |
73856 Sunnyvale Dr Apt B Twentynine Palms CA 92277-7114 |
| Practice Telephone | 7607253213 |
| Mailing Telephone | 9526936597 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D14445 | MN | Dental Providers |
| Street Address |
1 ST DENTAL BATTALION/NAVAL DENTAL CENTER ATTN: MEDICAL BLDG 2238 A AVE CAMP PENDLETON, CA. 92055-5221 |
| City | FPO |
| State | AA |
| Zip Code | 92055-5221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730755 | Zaccary Griffin | Military Health Care Provider | Building 4101 Stuart Mesa Rd, Camp Pendleton, CA 92055 | 2020-11-02 |
| 1194325597 | Connie Lim Good | Dental Hygienist | 14th Street Bldg 13128, Oceanside, CA 92055 | 2020-10-27 |
| 1386243327 | Leticia Isabel Alcantar | Dental Hygienist | Bldg 520448, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1548869571 | Joshua Watersjackson | Specialist/Technologist | 430406 Las Pulgas, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1235737164 | Tynesha Felice Calimquim | Dental Hygienist | Naval Hospital Camp Pendleton, Dental Department, 200 Mercy Circle, Oceanside, CA 92055 | 2020-10-13 |
| 1801494182 | Luis Alberto Necoechea | Military Health Care Provider | 1st Recon Bn Bas, Oceanside, CA 92055 | 2020-10-09 |
| 1689271603 | Lorena Santodomingo | Dental Hygienist | Bldg 210735 C Street, Camp Pendleton, CA 92055 | 2020-10-02 |
| 1720695984 | Douglas Thomas Duncan | Dental Assistant | 92055- 14th Strret, Oceanside, CA 92055 | 2020-09-30 |
| 1528675980 | Dora Louise Young | Dental Assistant | 92055 14th Street, Camp Pendleton, CA 92055 | 2020-09-29 |
| 1306453956 | Lynne Marie Reardon | Dental Hygienist | Bldg 310515, Camp Pendleton, CA 92055 | 2020-09-28 |
| Find all providers in zip 92055 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912487265 | Graham Ashton Harris | Dentist | 2310 Craven Street, Bldg 3230, Fpo, AA 92104 | 2018-08-16 |
| 1801306105 | Alice Mary Wiley | Dentist | Marine Corps Base Camp Lejuene, Fpo, AA 28542 | 2017-10-02 |
| 1245754241 | Joy Lee Kim | Dentist | Mcas Miramar Dental Clinic, Fpo, AA 92145 | 2017-08-01 |
| 1780107359 | Baljit D Singh | Dentist | 555221 Box, Box 555221, Fpo, AE 92057 | 2017-07-25 |
| 1962959593 | Andrew Correces | Dentist | Uss Harpers Ferry (lsd 49), Unit 100165, Fpo, AP 96665 | 2016-09-01 |
| 1851769103 | Justin Ray | Dentist | Navy Medicine Support Command Attn: Medical Staff Svc, Bldg H 2005 Knight Lane, Fpo, AA 32212-0140 | 2015-09-03 |
| 1083023444 | Holly Katherine Aguigam | Dentist | Uss San Diego (lpd 22), Hm, Fpo, AP 96678-1704 | 2014-08-10 |
| 1942619986 | Stephen Estes Smith | Dentist | Psc 477 Box 25354, Fpo, AP 96306-0254 | 2014-08-04 |
| 1821349655 | Daniel Aloysius Hammer | Dentist | Uss Abraham Lincoln Cvn 72, Unit# 100349, Fpo, AE 09520 | 2012-09-19 |
| 1104171735 | Teresa Angeline Capristo | Dentist | Uss Germantown # 42, Fpo, AP 96666-1730 | 2012-07-19 |
| Find all providers in FPO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.