Provider Demographics
NPI:1801077730
Name:BLAND, DONALD SHEFFIELD (DDS)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:SHEFFIELD
Last Name:BLAND
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 ORANGE ST UNIT A
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-4419
Mailing Address - Country:US
Mailing Address - Phone:910-762-2811
Mailing Address - Fax:910-762-1680
Practice Address - Street 1:20 ORANGE ST UNIT B
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-4419
Practice Address - Country:US
Practice Address - Phone:910-762-2811
Practice Address - Fax:910-762-1680
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-20
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC53781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice