Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mya Marie Blanco, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083559413

Mya Marie Blanco, DMD is a Student in an Organized Health Care Education/Training Program in Louisville, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2026
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

501 S Preston St
Louisville, KY 40202-1701
Phone: (502) 852-5096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence D-00259 (KY)

Record details

NPI number1083559413
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 22, 2026
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026

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