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Beau D Blankenship, Dds, Pc
General Practice Dentistry in Cedar Park, Texas
NPI 1104190594

Beau D Blankenship, Dds, Pc is a General Practice Dentistry based in Austin, TX and is specialized in General Practice. Beau D Blankenship, Dds, Pc practices in Cedar Park, TX. The NPI Number for Beau D Blankenship, Dds, Pc is 1104190594 and holds a License No. 22816 (Texas).

The current practice location address for Beau D Blankenship, Dds, Pc is 11200 Lakeline Mall Dr, Cedar Park, TX and can be reached out via phone at 512-448-4867 and via fax at 512-335-7668.

Location: 11200 Lakeline Mall Dr, Cedar Park, TX, 78734-6373
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104190594
Provider Name
Beau D Blankenship, Dds, Pc
Credential
Provider Entity Type
Organization
Address
11200 Lakeline Mall Dr, Cedar Park, TX, 78734-6373
Phone Number
512-448-4867
Fax Number
512-335-7668
Provider Enumeration Date
03/01/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
181540911 05 TX
institution
Provider Business Practice Location Address Details
Address
11200 Lakeline Mall Dr
City
Cedar Park
State
Texas
Zip
78613-1501
Phone Number
512-448-4867
Fax Number
512-335-7668
person
Provider Business Mailing Address Details
Address
11200 Lakeline Mall Dr
City
Cedar Park
State
Texas
Zip
78613-1501
Phone Number
512-448-4867
Fax Number
512-335-7668
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
22816 (Texas)
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.
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