Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730475617 Individual Practitioner Female Practitioner

Dr. Kelli Jean Brunk Blank , DMD

Dentist • Vandalia, IL

Professional Overview & Biography Verified Profile Summary

Dr. Kelli Blank, DMD is a registered healthcare professional specializing in Dentist in Vandalia, IL. Practice services are available at 607 W ORCHARD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

607 W Orchard St

Vandalia, IL 624711234

Telephone 6182832929
Fax 6182832113
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Vandalia, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Vandalia, IL (4751 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019028666

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.

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1073409041
Dr. Michael Lask , DMD

Dentist - General Practice

NPI 1801087531

Doctor of Dental Medicine

Dr. Colten Hunter , DMD

Dentist - General Practice

NPI 1871225326

Doctor of Dental Medicine

Dr. Mark Brunk , DMD

Dentist - General Practice

NPI 1871668012

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 17, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 17, 2015

Registered at 607 W ORCHARD ST, VANDALIA, IL 624711234 (Tel: 6182832929)

📍
Updated Business Mailing Address August 17, 2015

Registered at 607 W ORCHARD ST, VANDALIA, IL 624711234 (Tel: 6182832929)

👤
Provider Name / Credentials Updated August 17, 2015

Recorded as KELLI BLANK, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2015

Dentist (License #019028666 in IL)

🟢
Initial NPI Registration & Enumeration June 20, 2011

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: 1730475617
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2011
Last Update: August 17, 2015
Sole Proprietor: Yes

Mailing Address

607 W Orchard St

Vandalia, IL 624711234

Phone: 6182832929

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.