Blank, Robert David

Blank, Robert David is an sole proprietor health care provider with primary practice located at 51A N. Ferry Rd. , Shelter Island NY 11964-0715. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Blank, Robert David can be contacted via phone (631) 749-2646.

Contact Information

Primary practice address
51A N. Ferry Rd. Shelter Island NY 11964-0715
Phone: (631) 749-2646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 24831 New York

Profile Details

NPI number 1720173750
LBN Legal business name Blank, Robert David
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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