| Jeffrey P Blair, Dds, Pc | |
|
12205 Gayton Rd Henrico VA 23238-3212 | |
| (804) 741-1400 | |
| (804) 741-7700 |
| Full Name | Jeffrey P Blair, Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 12205 Gayton Rd, Henrico, Virginia |
| Authorized Official Name and Position | Jeffery P Blair (OWNER/PRESIDENT) |
| Authorized Official Contact | 8047411400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey P Blair, Dds, Pc 12205 Gayton Rd Henrico VA 23238-3212 Ph: (804) 741-1400 | Jeffrey P Blair, Dds, Pc 12205 Gayton Rd Henrico VA 23238-3212 Ph: (804) 741-1400 |
| NPI Number | 1720416290 |
|---|---|
| Provider Enumeration Date | 10/21/2013 |
| Last Update Date | 10/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720416290 | NPI | - | NPPES |
| 9178644 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401006754 (Virginia) | Primary |
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