DR. DAMIEN PHILLIPS BLANCO


Address: 6784 Eagle Watch Dr Ste 550, Orlando, FL 32822-2355
Phone: 4079827996

DR. DAMIEN PHILLIPS BLANCO (NPI# 1871149120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871149120
Entity Type Individual
Full Name DR. DAMIEN PHILLIPS BLANCO
Credential DMD
Practice Address 6784 Eagle Watch Dr Ste 550
Orlando
FL 32822-2355
Mailing Address 5981 Bent Pine Dr Apt 1728
Orlando
FL 32822-3392
Practice Telephone 4079827996
Mailing Telephone 3057423345
Enumeration Date 2019-08-13
Last Update Date 2020-09-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223G0001X Dentist
Specialization: General Practice
35798 TX Dental Providers
Y 1223G0001X Dentist
Specialization: General Practice
DN24508 FL Dental Providers

Office Location

Street Address 6784 EAGLE WATCH DR STE 550
City ORLANDO
State FL
Zip Code 32822-2355

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689285207 Ideal Dental of Lee Vista Dentist 6784 Eagle Watch Dr Ste 550, Orlando, FL 32822-2355 2020-08-17

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1457808529 Rachel Richardson Counselor 5758 S. Seminole Blvd., Orlando, FL 32822 2016-09-07
1215392154 Teresita Henao Nurse Practitioner 900 S Goldenrod Rd Ste B, Orlando, FL 32822 2015-12-18
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295332013 Dentists of Nona, Pa Dentist 14019 Narcoossee Rd Ste 135, Orlando, FL 32832-7162 2020-10-05
1720690886 Ideal Dental of University Pointe Dentist 11871 University Blvd, Suite 110, Orlando, FL 32817 2020-08-20
1821609454 Ideal Dental of Lake Nona Dentist 12851 Narcoossee Rd Ste 400, Orlando, FL 32832-7155 2020-08-17
1063023703 Muhammad Sheryar Khan Dentist 11712 Savona Way, Orlando, FL 32827-7243 2020-08-16
1306464805 Orlando Implants Center Pa Dentist 300 Gatlin Ave Ste 1-b, Orlando, FL 32806-6951 2020-07-10
1720601628 Amber Lynn Medellin Dentist 7861 Jubilee Park Blvd Apt 2412, Orlando, FL 32822-5258 2020-05-26
1134741960 Karoline Anne Biami Dentist 1444 Alden Rd Apt 502, Orlando, FL 32803-1973 2020-05-14
1568083020 Ricardo J Cermeno Sr. Dentist 6509 Conroy Rd Apt 114, Orlando, FL 32835-3501 2020-05-06
1144872029 My Forever Smiles LLC Dentist 7208 W Sand Lake Rd Ste 104, Orlando, FL 32819-5277 2019-07-11
1811553076 Connor Van Dentist 7651 Ashley Park Ct Ste 406, Orlando, FL 32835-6114 2019-05-14
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Competitor

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City ORLANDO
Zip Code 32822

Improve Information

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Dataset Information

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.

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