# JSBC SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912886920
- **Authorized official:** DR. JESSE BLAIR (OWNER/DENTIST)
- **Authorized official phone:** (260) 490-9684

## Contact information

- **Practice address:** 2409 FAIROAK DR, FORT WAYNE, IN 46809-2301
- **Practice address phone:** (260) 747-5745
- **Mailing address:** 2121 E DUPONT RD STE A, FORT WAYNE, IN 46825-1546
- **Mailing address phone:** (260) 490-9684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 09/02/2025
- **Last updated:** 09/02/2025