Provider Demographics
NPI:1487671632
Name:DAVID G. BLINKY D.M.D., P.C.
Entity Type:Organization
Organization Name:DAVID G. BLINKY D.M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF BUSINESS
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:G
Authorized Official - Last Name:BLINKY
Authorized Official - Suffix:
Authorized Official - Credentials:DS019208-L
Authorized Official - Phone:412-351-0727
Mailing Address - Street 1:7417 IRVINE ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15218-2423
Mailing Address - Country:US
Mailing Address - Phone:412-351-0727
Mailing Address - Fax:412-351-5148
Practice Address - Street 1:7417 IRVINE ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15218-2423
Practice Address - Country:US
Practice Address - Phone:412-351-0727
Practice Address - Fax:412-351-5148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS019208-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA=========Medicare UPIN