Dr Robert David Blank, DMD is a
Dentist - Periodontics based in Shelter Island, New York. Dr Robert David Blank is licensed to practice in New York (license number 24831) and his current practice location is
51a N. Ferry Rd., Shelter Island, New York. He can be reached at his office (for appointments etc.) via phone at
(631) 749-2646.
NPI number for Dr Robert David Blank is 1720173750 and his current mailing address is 56 N. Cartwright Rd., Pob 715, Shelter Island, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720173750.
Healthcare Provider's Profile
| Full Name | Dr Robert David Blank |
|---|
| Gender | Male |
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| Speciality | Dentist - Periodontics |
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| Location | 51a N. Ferry Rd., Shelter Island, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720173750
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Robert David Blank such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720173750 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223P0300X | Dentist - Periodontics | 24831 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Robert David Blank is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Robert David Blank, DMD
56 N. Cartwright Rd., Pob 715,
Shelter Island, NY 11964-0715
Ph: (631) 749-2117 | Dr Robert David Blank, DMD
51a N. Ferry Rd.,
Shelter Island, NY 11964-0715
Ph: (631) 749-2646 |
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