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Individual

DR. JASON BLAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
150 STUART XING NE, CLEVELAND, TN 37312-4065
(423) 476-2160
(423) 476-2680
Mailing address
150 STUART XING NE, CLEVELAND, TN 37312-4065
(423) 476-2160
(423) 476-2680

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
14735
GA
1223P0221X
Pediatric Dentistry
Primary
DS0000009066
TN
390200000X
Student in an Organized Health Care Education/Training Program
2700
OH

Other

Enumeration date
06/09/2008
Last updated
05/19/2015
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