Provider Demographics
NPI:1326240532
Name:BABAMETO, BLENDI E (DMD)
Entity Type:Individual
Prefix:
First Name:BLENDI
Middle Name:E
Last Name:BABAMETO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:797 E LANCASTER AVE
Mailing Address - Street 2:SUITE 15
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-3315
Mailing Address - Country:US
Mailing Address - Phone:484-593-0579
Mailing Address - Fax:484-593-4133
Practice Address - Street 1:797 E LANCASTER AVE
Practice Address - Street 2:SUITE 15
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-3315
Practice Address - Country:US
Practice Address - Phone:484-593-0579
Practice Address - Fax:484-593-4133
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0382321223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery