NPI 1376536730 · live from the CMS NPI Registry
David Blanco
Dentist in Providence, RI. National Provider Identifier 1376536730, active.
NPI record
| NPI | 1376536730 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 557 Broad St, Providence, RI 02907 |
| Practice phone | 401-444-0430 |
| Mailing address | 375 Allens Ave, Providence, RI 02905 |
| Enumerated | August 31, 2005 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | DEN02863 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.