Organization
JEFFREY P BLAIR, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY P BLAIR DDS (OWNER/PRESIDENT)
(804) 741-1400
Entity
Organization
Contact information
Practice address
12205 GAYTON RD, HENRICO, VA 23238-3212
(804) 741-1400
(804) 741-7700
Mailing address
12205 GAYTON RD, HENRICO, VA 23238-3212
(804) 741-1400
(804) 741-7700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401006754
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9178644
—
VA
Enumeration date
10/21/2013
Last updated
10/21/2013
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