DR. TERRY CLEVE BLANKS JR. (NPI# 1154660819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154660819 |
| Entity Type | Individual |
| Full Name | DR. TERRY CLEVE BLANKS JR. |
| Credential | DENTIST |
| Practice Address |
895 S. Dexter Ave Deland FL 32720 |
| Mailing Address |
895 S Dexter Ave P.o.box 3544 Deland FL 32720-6619 |
| Practice Telephone | 3867382002 |
| Practice Fax Number | 3867389523 |
| Mailing Telephone | 3867382002 |
| Mailing Fax Number | 3867389523 |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2013-01-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0005526 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780063941 | Terry Cornelius Blanks | Psychologist | 9548 S Forest Ave, Chicago, IL 60628-1406 | 2015-05-21 |
| Street Address |
895 S. DEXTER AVE |
| City | DELAND |
| State | FL |
| Zip Code | 32720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171532 | Kimberlee C Del Campo | Nurse Practitioner | 1590 S, State Highway 15a, Deland, FL 32720 | 2020-10-13 |
| 1699304840 | Grace Haven LLC | In Home Supportive Care | 805 S Stone St, Deland, FL 32720 | 2020-04-08 |
| 1609407766 | Michelle Rene' Tutt | Nurse Practitioner | 1590 South State Hwy 15a, Deland, FL 32720 | 2020-01-28 |
| 1902448715 | Volusia Medical Center LLC | Family Medicine | 850 N. Stone Street, Deland, FL 32720 | 2019-10-14 |
| 1548748957 | Christopher Lee Paik | Internal Medicine | 107 N Stone St, St A, Deland, FL 32720 | 2018-07-30 |
| 1164961041 | Melissa Sorensen | Counselor | 970 N Spring Ave, 523, Deland, FL 32720 | 2017-02-13 |
| 1669910329 | Stefanie Briann Yockey | Counselor | 804 N. Woodland Blvd., Deland, FL 32720 | 2017-02-02 |
| 1144648809 | Steven Shinn | Internal Medicine | 1590 S Sr 15a Ste 100, Deland, FL 32720 | 2014-03-31 |
| 1164843710 | Malgorzata Anna Szelwach | Occupational Therapist | 1590 State Rt 15a Suite B, Deland, FL 32720 | 2013-12-29 |
| 1730510926 | Adriana Marquez | Community/Behavioral Health | 33218 Tomahawk Trail, Deland, FL 32720 | 2013-12-12 |
| Find all providers in zip 32720 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184082018 | Sandra Trejos | Dentist | 250 E International Speedway Blvd, Deland, FL 32724-2340 | 2016-02-06 |
| 1760735005 | Melissa Renae Williams | Dentist | 1045 Williamsburg Rd, Deland, FL 32720-1449 | 2012-10-24 |
| 1457581217 | Christopher H Rae | Dentist | 131 Victoria Commons Blvd, Deland, FL 32724 | 2009-07-15 |
| 1023279262 | John William Pittman II | Dentist | 730 West Plymouth Av, Deland, FL 32720 | 2008-06-20 |
| 1801099882 | Anthony Joseph Visconti IIi | Dentist | 333 E New York Ave, Suite B, Deland, FL 32724-5562 | 2007-06-07 |
| 1689885121 | Gregory Carl Moo | Dentist | 1601 Timber Hills Dr, Deland, FL 32724-7978 | 2007-05-25 |
| 1740371822 | Dale D. Batten | Dentist | 123 W Plymouth Ave, Deland, FL 32720-2721 | 2006-09-27 |
| 1710459573 | Juan Andres Amaya | Dentist | 1045 Williamsburg Rd, Deland, FL 32720-1449 | 2018-12-18 |
| 1730667494 | Laif Dane Toland | Dentist | 250 E International Speedway Blvd, Deland, FL 32724-2340 | 2018-08-03 |
| 1376099788 | Dr A Jai Prakash Pa | Dentist | 214 N Spring Garden Ave, Deland, FL 32720-3939 | 2016-08-27 |
| Find all providers in DELAND | ||||
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| 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.