Individual
DR. JONATHAN BLAZE NEGRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE, PORTSMOUTH, VA 23708
(757) 953-7550
(757) 953-7560
Mailing address
5801 NICHOLSON LN APT 1414, NORTH BETHESDA, MD 20852
(772) 579-2846
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15192
MD
Other
Enumeration date
08/30/2012
Last updated
09/05/2025
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