Individual
DR. JOHN ROBERT BLAKEMORE
Active
Individual
DR. JOHN ROBERT BLAKEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30.013848
OH
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
30013848
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30013848
DENTAL
OH
Enumeration date
03/01/2006
Last updated
03/07/2023
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