MEDICARE: DR. BRICE BLAHNIK DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	D14445	MN
2	122300000X	Dentist	D12086	OR

General Provider Information

NPI Number	:	1225643307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRICE BLAHNIK DDS

Provider Business Mailing Address
First Line	:	721 WAVERLY DR SE
Second Line	:
City	:	ALBANY
State	:	OR
Zip	:	97322-5080
Country	:	US
Telephone Number	:	541-928-8434
Fax Number	:

Provider Business Practice Location Address
First Line	:	721 WAVERLY DR SE
Second Line	:
City	:	ALBANY
State	:	OR
Zip	:	97322-5080
Country	:	US
Telephone Number	:	541-928-8434
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2020
Last Update Date	:	12/03/2024

Similar Medicare Providers

1508862053 — STEVEN CLARKE WEINTRAUB D.D.S.
Practice Location Address:

721 WAVERLY DR SE
ALBANY, OR
97322-5080

Practice Phone: 541-928-8434
Practice Fax: 541-928-2756

1477979516 — WAVERLY DENTAL LLC
Practice Location Address:

721 WAVERLY DR SE
ALBANY, OR
97322-5080

Practice Phone: 541-928-8434
Practice Fax: 541-928-2756

1124742622 — MS. NICOLYN BILYEU MA, BCBA, LBA
Practice Location Address:

2532 SANTIAM HWY SE # 114
ALBANY, OR
97322-5211

Practice Phone: 541-451-0139
Practice Fax:

1194599597 — ELSIE CHAPMAN
Practice Location Address:

1106 S COMMERCIAL WAY SE
ALBANY, OR
97322-7034

Practice Phone: 971-307-2322
Practice Fax:

1457293243 — PAUL RODRIGUEZ CRM
Practice Location Address:

1100 JACKSON ST SE
ALBANY, OR
97322-3244

Practice Phone: 541-967-8545
Practice Fax:

1871926881 — MS. CHELSEA KAY CAMPBELL APRN
Practice Location Address:

4152 AZALEA AVE SE
ALBANY, OR
97322-7342

Practice Phone: 720-218-2483
Practice Fax:

Directions to “ DR. BRICE BLAHNIK DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.