Jeffrey Lee Blackburn in Lansing - Dentist
Jeffrey Lee Blackburn - NPI 1063570679
Jeffrey Lee Blackburn is a Dentist in Lansing, Michigan. Jeffrey Lee Blackburn practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jeffrey Lee Blackburn is 1063570679. The last update date is 2007-07-08.
Jeffrey Lee Blackburn's current location address is 2500 East Jolly Road, Lansing, Michigan. You can contact this provider via phone number 5173938500 and fax number 5173938596. The mailing address for Jeffrey Lee Blackburn is 2500 East Jolly Road, Lansing, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jeffrey Lee Blackburn |
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Address | 2500 East Jolly Road, Lansing, Michigan |
Phone Number | 5173938500 |
Fax Number | 5173938596 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1063570679 |
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Provider Enumeration Date | 2006-12-05 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2500 East Jolly Road |
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City | Lansing |
State | Michigan (MI) |
Post Code | 48910 |
Phone Number | 5173938500 |
Fax Number | 5173938596 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 11779 |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Jeffrey Lee Blackburn's unique identification number?
The Jeffrey Lee Blackburn has been assigned the NPI (National Provider Identifier) Number 1063570679 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Jeffrey Lee Blackburn?
The Jeffrey Lee Blackburn is situated at 2500 East Jolly Road, in the city of Lansing, state of MI, with the zip code 48910.
What is Jeffrey Lee Blackburn's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffrey Lee Blackburn's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063570679 to Jeffrey Lee Blackburn?
The Jeffrey Lee Blackburn received its 1063570679 assignment from the Centers for Medicare & Medicaid Services on 2006-12-05.
As of what date was the information regarding Jeffrey Lee Blackburn, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeffrey Lee Blackburn, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.