Kelli Jean Brunk Blank, D.M.D.
Dentist · Vandalia, IL
Practice location
607 W Orchard StVandalia, IL 62471-1234
- Phone
- (618) 283-2929
- Fax
- (618) 283-2113
NPI record
- NPI
- 1730475617
- Entity type
- Individual (Type 1)
- Enumeration date
- June 20, 2011
- Last updated
- August 17, 2015
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
019028666 | IL |
About Dr. Blank
Kelli Jean Brunk Blank, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 607 W Orchard St, Vandalia, IL 62471-1234. The NPI number 1730475617 was assigned on June 20, 2011 and the record was last updated on August 17, 2015.
Dr. Blank lists a license in the registry: #019028666 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kelli Jean Brunk Blank, D.M.D.?
The NPI number is 1730475617.
What is the phone number of Dr. Blank?
The phone number listed for the practice location is (618) 283-2929.
Where is Dr. Blank located?
607 W Orchard St, Vandalia, IL 62471-1234.
What is the taxonomy code for Dr. Blank?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Dentist providers in Vandalia
- William Phillips607 W Orchard St
- William E Stringer DDS LTD1011 N Eighth St
- Alivia Cao, DDS2102 W Randolph St
- Jordan Weis, D.M.D.2102 W Randolph St