DR. KATELYN MICHELLE BLANCHARD DDS, MSD
NPI 1316469653
Dentist - Orthodontics and Dentofacial Orthopedics in Tyler, TX

Active since July 07, 2017
3824 SOUTHPARK DR, TYLER, TX 75703(903) 707-6275 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Katelyn Michelle Blanchard Dds, Msd NPPES

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

DR. KATELYN MICHELLE BLANCHARD DDS, MSD (NPI 1316469653) is an individual orthodontics and dentofacial orthopedics provider in Tyler, Texas, licensed in Texas (37083) and active in the NPI registry since July 2017. She maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1316469653
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameDR. KATELYN MICHELLE BLANCHARDCredential: DDS, MSD
Location Address3824 SOUTHPARK DRTyler, TX 75703-1713
Mailing AddressPo Box 691Whitehouse, TX 75791-0691 · (903) 241-5136
Sole ProprietorYes
Enumeration DateJuly 7, 2017
Last NPPES UpdateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
✔ NPI 1316469653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License✔ Licensed in TX · 37083
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
3824 SOUTHPARK DR, Tyler, TX 75703

Other Names 1

Former Name (1)Katelyn Michelle Kennedy

Secondary Practice Location 1

Location 11501 E Rusk StJacksonville, TX 75766-5505 · Phone (903) 707-6275

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 Katelyn Blanchard's NPI number?

The NPI number for Katelyn Blanchard is 1316469653. It was assigned to this individual provider in the NPPES registry on July 7, 2017. The provider is also known as Katelyn Michelle Kennedy.

Where is Katelyn Blanchard located?

Katelyn Blanchard practices at 3824 Southpark Dr, Tyler, TX 75703. The listed phone number is (903) 707-6275.

What is Katelyn Blanchard's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Katelyn Blanchard was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.