Individual provider · Type 1 NPI

Blair Jason

Pediatric Dentistry · Phoenix, AZ

NPI number 1699621037 Active

Practice location

1934 E Camelback Rd
Phoenix, AZ 85016-4126

Mailing address

2704 Magellan Dr
Monroe, LA 71201-3144

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNA (TN)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1699621037

Blair Jason's National Provider Identifier is 1699621037, issued on Mar 9, 2026. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 9, 2026.