Individual provider · Type 1 NPI
Jared Blacker, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Mesa, AZ
Practice location
6848 E Brown Rd
Mesa, AZ 85207-3706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 7955 (NC) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
2 other providers at this address
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About NPI 1194735795
Jared Blacker, DDS's National Provider Identifier is 1194735795, issued on Aug 8, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Mesa, AZ. The record was last updated on Jul 9, 2019.