Individual provider · Type 1 NPI

Kenneth A. Blais, DMD, MD

Oral and Maxillofacial Surgery (Dentist) · Gainesville, VA

NPI number 1871704189 Active

Practice location

7230 Heritage Village Plz Ste 101
Gainesville, VA 20155-3054

Mailing address

611 S Carlin Springs Rd Ste 308
Arlington, VA 22204-1086

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X0401414340 (VA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1871704189

Kenneth A. Blais, DMD, MD's National Provider Identifier is 1871704189, issued on May 25, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Gainesville, VA. The record was last updated on Jul 17, 2024.