Search › Georgia › 122300000X
Stephen Blank, DMD
NPI 1427342443 · on the registry since 2011
Practice
- Address
- 302 Laurel St
Bremen, GA 30110 - Phone
- (770) 537-4439
- Organisation at this address
- Bremen Dental Depot Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-06-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia