Dr Daniel Milton Blaho Jr, DDS is a
Dentist - Oral And Maxillofacial Surgery based in Laurenceville, Georgia. Dr Daniel Milton Blaho Jr is licensed to practice in Georgia (license number 10001) and his current practice location is
171 Gwinnett Dr, Suite B, Laurenceville, Georgia. He can be reached at his office (for appointments etc.) via phone at
(770) 995-7960.
NPI number for Dr Daniel Milton Blaho Jr is 1962500538 and his current mailing address is 171 Gwinnett Dr, Suite B, Laurenceville, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962500538.
Healthcare Provider's Profile
| Full Name | Dr Daniel Milton Blaho Jr |
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| Gender | Male |
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| Speciality | Dentist - Oral And Maxillofacial Surgery |
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| Location | 171 Gwinnett Dr, Laurenceville, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1962500538
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Daniel Milton Blaho Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962500538 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 10001 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Daniel Milton Blaho Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Daniel Milton Blaho Jr, DDS
171 Gwinnett Dr, Suite B,
Laurenceville, GA 30045
Ph: (770) 995-7960 | Dr Daniel Milton Blaho Jr, DDS
171 Gwinnett Dr, Suite B,
Laurenceville, GA 30045
Ph: (770) 995-7960 |
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