Individual
DR. JEFFREY RICHARD BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5751 W LINCOLN HWY, PARKESBURG, PA 19365-1789
(717) 442-3101
(717) 442-5240
Mailing address
5751 W LINCOLN HWY, PARKESBURG, PA 19365-1789
(717) 442-3101
(717) 442-5240
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS024870L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS024870L
DENTAL LICENSE NUMBER
PA
Enumeration date
04/26/2007
Last updated
07/08/2007
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