Individual
DR. JON JARROD BLACKLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1 W WOODLAND AVE, SPRINGFIELD, PA 19064-2325
(610) 543-5673
(610) 543-0299
Mailing address
1 W WOODLAND AVE, SPRINGFIELD, PA 19064-2325
(610) 543-5673
(610) 543-0299
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS037220
PA
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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