David Blanco
Dentist in Providence, RI. Individual provider (NPI-1).
NPI number1376536730
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1376536730
- Entity type
- Individual (NPI-1)
- Name
- Mr. David Blanco
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2005
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DEN02863 | RI | Yes |
Practice location
557 Broad StProvidence, RI 02907-1403
Phone 401-444-0430 · Fax 401-444-0489
Mailing address
375 Allens AveProvidence, RI 02905-5010
Phone 401-444-0400 · Fax 401-444-0468
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All 73 Dentist providers in Providence · All 11,044 providers in Providence
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