Individual provider · Type 1 NPI
Blair Alexander Isom, DDS
Oral and Maxillofacial Surgery (Dentist) · Las Vegas, NV
NPI number
1922365402
Active
Practice location
9368 Bronze River Ave
Las Vegas, NV 89149-1687
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 58883 (CA) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DE60351030 (WA) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | S2-144C (NV) |
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 1922365402
Blair Alexander Isom, DDS's National Provider Identifier is 1922365402, issued on Apr 20, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Las Vegas, NV. The record was last updated on Jun 27, 2016.