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BRYAN KEITH BLANKENSHIP DDS PA
NPI 1013179258
Clinic/Center - Dental in Ponte Vedra, FL

Active since June 30, 2008
5000 SAWGRASS VILLAGE CIR, SUITE 23, PONTE VEDRA, FL 32082(904) 280-0070(904) 280-0079 Get Directions Write a Review

NPPES record last updated: April 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bryan Keith Blankenship Dds Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYAN KEITH BLANKENSHIP DDS PA (NPI 1013179258) is a healthcare organization registered as a dental in Ponte Vedra, Florida and active in the NPI registry since June 2008. The organization lists Bryan Keith Blankenship, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1013179258
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBRYAN KEITH BLANKENSHIP DDS PA
Location Address5000 SAWGRASS VILLAGE CIR, SUITE 23Ponte Vedra, FL 32082-5045
Mailing Address5000 Sawgrass Village Cir, Suite 23Ponte Vedra, FL 32082-5045 · (904) 280-0070 · Fax (904) 280-0079
Phone(904) 280-0070
Fax(904) 280-0079
Organization SubpartNo
Authorized OfficialBryan Keith BlankenshipDentist/owner · (904) 280-0070
Enumeration DateJune 30, 2008
Last NPPES UpdateApril 6, 2011
✔ NPI 1013179258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in FL · 193344
5000 SAWGRASS VILLAGE CIR, Ponte Vedra, FL 32082
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Other Identifiers 1

Medicare NSC6494270001FL

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLANKENSHIP DENTAL AT OAKLEAF PA
Clinic/Center (Dental)
5000 SAWGRASS VILLAGE CIR, SUITE 23
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 236-8030
DR. GASPER LAZZARA DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
5000 SAWGRASS VILLAGE CIR, SUITE 3
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 567-1400
KRISTINA CRENSHAW LMHC
Counselor (Mental Health)
5000 SAWGRASS VILLAGE CIR, SUITE 9
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 280-8555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan Keith Blankenship Dds PA's NPI number?

The NPI number for Bryan Keith Blankenship Dds PA is 1013179258. It was assigned to this organization in the NPPES registry on June 30, 2008.

Where is Bryan Keith Blankenship Dds PA located?

Bryan Keith Blankenship Dds PA is located at 5000 Sawgrass Village Cir Suite 23, Ponte Vedra, FL 32082. The listed phone number is (904) 280-0070.

What is Bryan Keith Blankenship Dds PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Bryan Keith Blankenship Dds PA was last updated on April 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.