Individual provider · Type 1 NPI
Paul J. Blaha, DDS MS
Periodontics · Sycamore, IL
NPI number
1124134283
Active
Practice location
1976 Aberdeen Court, Suite A
Sycamore, IL 60178
Fax (815) 758-0274
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | None listed |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1124134283
Paul J. Blaha, DDS MS's National Provider Identifier is 1124134283, issued on Aug 22, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Sycamore, IL. The record was last updated on Jul 8, 2007.