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MYA MARIE BLANCO DMD
NPI 1083559413
Student in an Organized Health Care Education/Training Program in Louisville, KY

Active since April 22, 2026
501 S PRESTON ST, LOUISVILLE, KY 40202(502) 852-5096 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mya Marie Blanco Dmd NPPES

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

MYA MARIE BLANCO DMD (NPI 1083559413) is an individual student in an organized health care education/training program in Louisville, Kentucky, licensed in Kentucky (D-00259) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1083559413
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMYA MARIE BLANCOCredential: DMD
Location Address501 S PRESTON STLouisville, KY 40202-1701
Mailing Address3608 Park Place DrPoland, OH 44514-4235 · (330) 953-8222
Phone(502) 852-5096
Sole ProprietorYes
Enumeration DateApril 22, 2026
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
✔ NPI 1083559413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in KY · D-00259
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
501 S PRESTON ST, Louisville, KY 40202
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Other Providers at the Same Location NPPES 20

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

DR. MOLLY W BRAUN DMD
Dentist
501 S PRESTON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-7660
NATALIA ALMEIDA BASTOS BITENCOURT DDS
Dentist
501 S PRESTON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-9943
GABRIELA MARIE HUNTER DMD
Dentist
501 S PRESTON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-5642
GABRIELA GAVILAN HADID
Dentist (Endodontics)
501 S PRESTON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-5096
DR. THOMAS LAWRENCE PETERSON
Dentist
501 S PRESTON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-5128
JUSTIN A WHITNEY DMD
Dentist
501 S PRESTON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-5128
DR. KRISTEN ELENA EGUREN DMD
Dentist (Prosthodontics)
501 S PRESTON ST
LOUISVILLE, KY 40202
Jefferson County (336) 707-7131
KAYLA ERICKSON
Dentist
501 S PRESTON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-5096

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 Mya Blanco's NPI number?

The NPI number for Mya Blanco is 1083559413. It was assigned to this individual provider in the NPPES registry on April 22, 2026.

Where is Mya Blanco located?

Mya Blanco practices at 501 S Preston St, Louisville, KY 40202. The listed phone number is (502) 852-5096.

What is Mya Blanco's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mya Blanco was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.