IndividualActive
Stephen Blank, DDS
NPI 1003016791 · General Practice Dentistry · Port Saint Lucie, FL
Provider details
- NPI number
- 1003016791
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN9155 (FL)
Specialties & taxonomies
Dental Providers
Practice location
184 Nw Central Park Plz
Port Saint Lucie, FL 34986-2451
Phone: (772) 878-7348
Fax: (772) 878-7534
Approximate (ZIP-level) locationGet directions
Mailing address
184 Nw Central Park Plz
Port Saint Lucie, FL 34986-2451
Registry dates
- Enumerated
- 2007-07-20
- Last updated
- 2007-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.