Healthcare Provider Details

I. General information

NPI: 1588595698
Provider Name (Legal Business Name): ELEANOR BLINCOE DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELLE BLINCOE

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 BEACON HILL RD
MOREHEAD KY
40351-6030
US

IV. Provider business mailing address

213 ARCADIA PARK
LEXINGTON KY
40503-1333
US

V. Phone/Fax

Practice location:
  • Phone: 606-784-4340
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD-00205
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: