NPI 1831432558

Heather Yvonne Blankenship, RDA

Practitioner Dental Assistant Conway, AR

Practice location

Address: 2014 Simms St, Conway, AR 72034-6316
Phone: (501) 940-6216

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence 9633 (AR)

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Registry record

NPI: 1831432558
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Apr 2013
Record last updated: 1 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.