Individual provider · Type 1 NPI
Jay H. Blackburn, DDS
General Practice Dentistry · New Buffalo, MI
NPI number
1730103045
Active
Practice location
105 W. Merchant Street
New Buffalo, MI 49117-1813
Fax (269) 469-6182
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 13579 (MI) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
About NPI 1730103045
Jay H. Blackburn, DDS's National Provider Identifier is 1730103045, issued on Jul 27, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in New Buffalo, MI. The record was last updated on Jul 8, 2007.