Organization
JEFFERSON T BLACKBURN, DDS, PLC
Active
Other names
South River Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERSON T BLACKBURN DDS (DENTIST)
(804) 378-7888
Entity
Organization
Contact information
Practice address
2301 ROBIOUS STATION CIR, MIDLOTHIAN, VA 23113-2124
(804) 378-7888
(804) 378-3341
Mailing address
2301 ROBIOUS STATION CIR, MIDLOTHIAN, VA 23113-2124
(804) 378-7888
(804) 378-3341
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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