IndividualActive
Luis Blanco, D.M.D., M.S.
NPI 1730254855 · Prosthodontics · Oklahoma City, OK
Provider details
- NPI number
- 1730254855
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- D.M.D., M.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0029 (OK)
Specialties & taxonomies
Dental Providers
Practice location
1201 N Stonewall Ave
Room 494
Oklahoma City, OK 73117-1214
Phone: (405) 271-5714
Fax: (405) 271-2405
Approximate (ZIP-level) locationGet directions
Mailing address
1201 N Stonewall Ave
Oklahoma City, OK 73117-1214
Registry dates
- Enumerated
- 2006-11-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.