MEDICARE: HOLLY DEANN BLANK RDH

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	124Q00000X	Dental Hygienist	18967	TX

General Provider Information

NPI Number	:	1083100663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLY DEANN BLANK RDH

Provider Business Mailing Address
First Line	:	11805 NEERING DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75218-1929
Country	:	US
Telephone Number	:	469-778-4006
Fax Number	:

Provider Business Practice Location Address
First Line	:	11805 NEERING DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75218-1929
Country	:	US
Telephone Number	:	469-778-4006
Fax Number	:

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

Provider Enumeration Date	:	07/06/2018
Last Update Date	:	07/06/2018

Similar Medicare Providers

1710471081 — DR. ANNA DILLARD COWDIN DMD
Practice Location Address:

11805 NEERING DR
DALLAS, TX
75218-1929

Practice Phone: 210-254-3398
Practice Fax:

1922939842 — ERIKA MOORE
Practice Location Address:

123 W MAIN ST
DALLAS, TX
75208-1929

Practice Phone: 917-525-1544
Practice Fax:

1770185100 — PRISCA WILLIAMS
Practice Location Address:

123 W MAIN ST
DALLAS, TX
75208-1929

Practice Phone: 123-456-7899
Practice Fax:

1508518234 — RACHEL DIMONT
Practice Location Address:

6511 DYKES WAY
DALLAS, TX
75230-1929

Practice Phone: 619-672-6839
Practice Fax:

1194612499 — TURNKEY ABA THERAPY LLC
Practice Location Address:

6531 DYKES WAY
DALLAS, TX
75230-1929

Practice Phone: 214-838-7938
Practice Fax: 945-523-0453

1043180300 — MY CARE BUDDY LLC
Practice Location Address:

123 W MAIN ST
DALLAS, TX
75208-1929

Practice Phone: 214-799-1444
Practice Fax:

Directions to “ HOLLY DEANN BLANK RDH” 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.