Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750481131 Individual Practitioner Male Practitioner

Dr. Bryan Keith Blankenship , DDS

Dentist • Palm Coast, FL

Professional Overview & Biography Verified Profile Summary

Dr. Bryan Blankenship, DDS is a registered healthcare professional specializing in Dentist in Palm Coast, FL. Practice services are available at 25 PINE CONE DR STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

25 Pine Cone Dr Ste 1

Palm Coast, FL 321648424

Telephone 3864457671

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Palm Coast, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
26 Specialists

Practicing in Palm Coast, FL (6414 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: 2020-12-04
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL 16941

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Tax Identification Number
203294786 (FL)

Secondary Practice Locations

5000 Sawgrass Village Cir, Suite 23

Ponte Vedra Beach, FL 320825045

Phone: 9042800070

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Paul Johnson , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1023288255

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 04, 2020

Registered at 25 PINE CONE DR STE 1, PALM COAST, FL 321648424 (Tel: 3864457671)

📍
Updated Business Mailing Address September 03, 2020

Registered at 25 PINE CONE DR STE 1, PALM COAST, FL 321648424 (Tel: 3864457671)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 5000 SAWGRASS VILLAGE CIR, SUITE 23, PONTE VEDRA BEACH, FL 320825045 (Tel: 9042800070)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5000 SAWGRASS VILLAGE CIR, SUITE 23, PONTE VEDRA BEACH, FL 320825045 (Tel: 9042800070)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BRYAN BLANKENSHIP, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #16941 in FL)

🟢
Initial NPI Registration & Enumeration September 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Bryan Blankenship. Be the first to share your experience!

Sign in to leave a review for Dr. Bryan Blankenship

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1750481131
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2006
Last Update: December 04, 2020
Sole Proprietor: No

Mailing Address

25 Pine Cone Dr Ste 1

Palm Coast, FL 321648424

Phone: 3864457671

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.