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Beau D Blankenship, DDS, PC

General Practice Dentistry in Cedar Park, TX · enumerated 2012 · authorized official Beau Blankenship, Owner/President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104190594

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Registry record

Entity type Organization (Type 2)
Legal business name Beau D Blankenship, DDS, PC
Other name <Unavail>
Practice address 11200 Lakeline Mall Dr, #B1, Cedar Park, TX, 78613
Phone (512) 448-4867
Fax (512) 335-7668
Enumeration date Mar 1, 2012
Last updated in NPPES Mar 1, 2012

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 22816 (TX) Primary

Authorized official

Name Beau Blankenship
Title Owner/President
Phone (210) 722-9274

Other identifiers

Identifier Type State Issuer
181540911 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Beau D Blankenship, DDS, PC?
The NPI for Beau D Blankenship, DDS, PC is 1104190594, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Beau D Blankenship, DDS, PC?
NPPES lists Beau Blankenship (Owner/President) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-03-01.