Organization
JESSE BLAIR DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE BLAIR DDS (OWNER/DENTIST)
(260) 490-9684
Entity
Organization
Contact information
Practice address
2121 E DUPONT RD STE A, FORT WAYNE, IN 46825-1546
(260) 490-9684
Mailing address
JESSE BLAIR DDS LLC 2121 EAST DUPONT ROAD, SUITE A & SUITE B, FORT WAYNE, IN 46825
(260) 490-9684
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
08/04/2025
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