DR. DAVID PATRICIO BLANCO (NPI# 1285716902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285716902 |
| Entity Type | Individual |
| Full Name | DR. DAVID PATRICIO BLANCO |
| Credential | D.D.S. |
| Practice Address |
4370 S Redwood Rd Salt Lake City UT 84123-2223 |
| Practice Telephone | 8019691802 |
| Practice Fax Number | 8019666853 |
| Mailing Telephone | 8019691802 |
| Mailing Fax Number | 8019666853 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2774455 | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619198769 | David A Blanco | Pediatrics | Erie Ave At Fron St - Scpa Gastroenterology, Nelson Pavilion Ste 2045, Philadelphia, PA 19134 | 2007-05-02 |
| 1376536730 | David Blanco | Dentist | 557 Broad St, Providence, RI 02907-1403 | 2005-08-31 |
| Street Address |
4370 S REDWOOD RD |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84123-2223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215958244 | Romney R. Black Dds PC | Dentist | 4370 S Redwood Rd, Salt Lake City, UT 84123-2223 | 2006-07-23 |
| 1104849694 | David Layton Harrison | Dentist | 4370 S Redwood Rd, Salt Lake City, UT 84123-2223 | 2006-07-25 |
| 1588687156 | Romney Richard Black | Dentist | 4370 S Redwood Rd, Salt Lake City, UT 84123-2223 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
| 1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
| 1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
| 1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
| 1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
| 1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
| 1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
| 1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
| 1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
| Find all providers in zip 84123 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417575879 | Utah Family Dental Cottonwood Heights | Dentist | 7069 S Highland Dr Ste 200, Salt Lake City, UT 84121-3731 | 2020-07-10 |
| 1437772498 | Jordan Ames Whatcott | Dentist | 5888 S 900 E Ste 101, Salt Lake City, UT 84121-1644 | 2020-05-26 |
| 1043871783 | Morgan Park | Dentist | 223 S 700 E Ste 3, Salt Lake City, UT 84102-2174 | 2019-06-24 |
| 1730647330 | Salt Lake Modern Dentistry, LLP | Dentist | 1028 E 2100 S Ste 3, Salt Lake City, UT 84106-3096 | 2019-03-04 |
| 1336615244 | Jordan Heimer | Dentist | 1386 S Green St, Salt Lake City, UT 84105-2137 | 2018-10-18 |
| 1558852269 | Eric Gordon Russell | Dentist | 4465 S 900 E Ste 100, Salt Lake City, UT 84124-2695 | 2018-05-29 |
| 1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
| 1538687207 | Community Health Centers, Inc. | Dentist | 1078 S 300 E # 4, Salt Lake City, UT 84111-4638 | 2017-09-01 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1437682002 | Salt Lake Dental Care | Dentist | 279 E 5900 S Ste 202, Salt Lake City, UT 84107-5425 | 2017-04-10 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84123 |
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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.