DR. AMANDA C BLANKENSHIP


Address: Smoke Bomb Hill Dental Clinic 3817 Gruber Rd, Fort Bragg, NC 28310-0001
Phone: 9103961571

DR. AMANDA C BLANKENSHIP (NPI# 1114572229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114572229
Entity Type Individual
Full Name DR. AMANDA C BLANKENSHIP
Credential DDS
Practice Address Smoke Bomb Hill Dental Clinic 3817 Gruber Rd
Fort Bragg
NC 28310-0001
Mailing Address 40 Watchmen Ln
Cameron
NC 28326-1002
Practice Telephone 9103961571
Mailing Telephone 4197643656
Enumeration Date 2019-08-06
Last Update Date 2019-08-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
30.025873 OH Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 00000 05

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Office Location

Street Address SMOKE BOMB HILL DENTAL CLINIC 3817 GRUBER RD
City FORT BRAGG
State NC
Zip Code 28310-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013550763 Brent Francis Bachman Physician Assistant 2817 Reilly Street, Fort Bragg, NC 28310 2019-10-25
1417503459 Cooper Pasque Dentist 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 2019-08-15
1851959951 Daniel Jordan Whitaker Student in an Organized Health Care Education/Training Program Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 2019-06-03
1679054217 Christopher Cetnar Dentist Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 2018-08-22
1316427107 Alexandrea Lee Clark Dentist Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 2018-08-21
1457843831 Kevin Patrick Hudson Student in an Organized Health Care Education/Training Program 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 2018-06-01
1639691462 Margaret S Greene Dentist Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 2017-07-13
1912432246 Chezdan Baker Student in an Organized Health Care Education/Training Program Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 2017-04-24
1215483094 Shantryce Monique Boatwright Crump Dental Hygienist 2617 Rielly Road, Fort Bragg, NC 28310 2016-08-31
1629435714 John Gagnier Physician Assistant Gruber Road, Building #c-1722, Fort Bragg, NC 28310 2016-01-21
Find all providers in zip 28310

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750997110 William James Graham Iv Dentist Bldg B-6837 Normandy Dr, Fort Bragg, NC 28310-0001 2020-09-21
1679194906 Jeff Bertheola Dentist 825 Sequoia Cir, Fort Bragg, CA 95437-5422 2020-04-27
1831754795 Ryan David Smith Dentist Bldg 4681 Logistics Ave, Fort Bragg, NC 28310-0001 2019-05-07
1588159263 Jenniffer Rendon-velasquez Dentist 3817 Gruber Rd, Fort Bragg, NC 28310-8925 2018-06-26
1912423377 Lejla Streets Dentist 2827 Reilly Rd, Fort Bragg, NC 28310-0001 2017-08-17
1033635420 Andrew Seun Dentist Bldg 6837 Normandy Drive, Fort Bragg, NC 28310-0001 2017-08-17
1184144479 Thomas William Hanna IIi Dentist Bldg C-6238 Ardennes St., Fort Bragg, NC 28307 2017-06-27
1598134769 Sidney Choi Dentist 499 E Chestnut St, Fort Bragg, CA 95437-4913 2015-09-17
1083048706 Gamal Ahmad Baker Dentist Logisitcs Ave Bldg M-4861, Us Army Dental Activity, Fort Bragg, NC 28310-7302 2013-08-29
1700227576 Neil Steven Wilensky Dentist 895 River Dr, Fort Bragg, CA 95437-5441 2013-07-09
Find all providers in FORT BRAGG

Competitor

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City FORT BRAGG
Zip Code 28310

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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