Dr. Daniel Mark Blanco, DMD
Dentist, General Practice in San Diego, CA. Individual provider (NPI-1).
NPI number1124510482
StatusActive
Last updated in NPPESAug 30, 2019
Details
- NPI
- 1124510482
- Entity type
- Individual (NPI-1)
- Name
- Dr. Daniel Mark Blanco
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2018
- Last updated
- Aug 30, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 102496 | CA | Yes |
Practice location
9912 Carmel Mountain Rd Ste BSan Diego, CA 92129-2808
Phone 858-538-9182
Mailing address
4910 Longford St Apt 5San Diego, CA 92117-2159
Phone 909-979-7756
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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