Dr. Samuel Gregg Blanchard, D.D.S., M.S.
Dentist, Pediatric Dentistry in Clinton Twp, MI. Individual provider (NPI-1).
NPI number1407010010
StatusActive
Last updated in NPPESJul 26, 2024
Details
- NPI
- 1407010010
- Entity type
- Individual (NPI-1)
- Name
- Dr. Samuel Gregg Blanchard
- Credential
- D.D.S., M.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2008
- Certification date
- Jul 26, 2024
- Last updated
- Jul 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 2901019904 | MI | Yes |
| 122300000X | Dentist | 2901019904 | MI |
Other names
- Sam Blanchard (Other Name)
Practice location
39400 Garfield Rd Ste 200Clinton Twp, MI 48038-4096
Phone 586-286-0700
Mailing address
39400 Garfield Rd Ste 200Clinton Twp, MI 48038-4096
Phone 586-286-0700
Other practice locations
24901 Kelly Rd Ste 1
Eastpointe, MI 48021-1367
Eastpointe, MI 48021-1367
Phone 586-772-2090
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