Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871149120 Individual Practitioner Male Practitioner

Dr. Damien Phillips Blanco , DMD

Dentist - General Practice • Orlando, FL

Professional Overview & Biography Verified Profile Summary

Dr. Damien Blanco, DMD is a registered healthcare professional specializing in Dentist - General Practice in Orlando, FL. Practice services are available at 275 S CHICKASAW TRL STE 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

275 S Chickasaw Trl Ste 2

Orlando, FL 328253505

Telephone 4074340243
Associated Practice Facility / Clinic
🏢 Ideal Dental Group Of Orlando Facility NPI 1942509229

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Orlando, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
312 Specialists

Practicing in Orlando, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-28
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN24508

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License TX 35798

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.

Secondary Practice Locations

6784 Eagle Watch Dr Ste 550

Orlando, FL 328222355

Phone: 4079827996

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Haroon Peerzada , DMD

Dentist - General Practice

NPI 1124862792

Doctor of Dental Medicine

NPI 1992150163

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location August 28, 2023

Registered at 275 S CHICKASAW TRL STE 2, ORLANDO, FL 328253505 (Tel: 4074340243)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2023

Dentist (License #DN24508 in FL)

📍
Updated Practice Location September 24, 2020

Registered at 6784 EAGLE WATCH DR STE 550, ORLANDO, FL 328222355 (Tel: 4079827996)

📍
Updated Business Mailing Address September 24, 2020

Registered at 5981 BENT PINE DR APT 1728, ORLANDO, FL 328223392 (Tel: 3057423345)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2020

Dentist (License #35798 in TX)

NPI Profile Active August 13, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2019

Registered at 14604 SW 110TH TER, MIAMI, FL 331866613 (Tel: 3057423345)

📍
Updated Business Mailing Address August 13, 2019

Registered at 14604 SW 110TH TER, MIAMI, FL 331866613 (Tel: 3057423345)

👤
Provider Name / Credentials Updated August 13, 2019

Recorded as DAMIEN BLANCO, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2019

Dentist (License #DN24508 in FL)

🟢
Initial NPI Registration & Enumeration August 13, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871149120
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2019
Last Update: August 28, 2023
Sole Proprietor: No

Mailing Address

5981 Bent Pine Dr Apt 1728

Orlando, FL 328223392

Phone: 3057423345

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.