JESSICA BLANCO DMD NPI 1578995411

NPI Information

  • NPI: 1578995411
  • Provider Name: JESSICA BLANCO, DMD
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9309 GLACIER HWY STE B103
    JUNEAU, AK
    ZIP 99801
  • Phone: (907) 523-5437

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NPI Details

Jessica Blanco, DMD is a pediatric dentistry dentist in Juneau, AK. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Jessica Blanco, DMD NPI is 1578995411. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9309 GLACIER HWY STE B103
JUNEAU, AK
ZIP 99801-300
Phone: (907) 523-5437

The NPI 1578995411 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 8/2/2013 and was last updated on 2/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric Dentistry104062ALASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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