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Organization

JAB DENTAL INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JESSE BLAIR DDS (OWNER/DENTIST)
(260) 490-9684
Entity
Organization

Contact information

Practice address
10218 CHESTNUT PLAZA DR, FORT WAYNE, IN 46814-8970
(260) 616-1003
Mailing address
10218 CHESTNUT PLAZA DR, FORT WAYNE, IN 46814-8970
(260) 616-1003

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
07/07/2025
Last updated
08/04/2025
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