Jay H. Blackburn in New Buffalo - General Practice
Jay H. Blackburn - NPI 1730103045
Jay H. Blackburn is a General Practice in New Buffalo, Michigan. Jay H. Blackburn practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jay H. Blackburn is 1730103045. The last update date is 2007-07-08.
Jay H. Blackburn's current location address is 105 W. Merchant Street, New Buffalo, Michigan. You can contact this provider via phone number 2694693140 and fax number 2694696182. The mailing address for Jay H. Blackburn is 105 W. Merchant Street, New Buffalo, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay H. Blackburn |
|---|---|
| Address | 105 W. Merchant Street, New Buffalo, Michigan |
| Phone Number | 2694693140 |
| Fax Number | 2694696182 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1730103045 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 105 W. Merchant Street |
|---|---|
| City | New Buffalo |
| State | Michigan (MI) |
| Post Code | 491171813 |
| Phone Number | 2694693140 |
| Fax Number | 2694696182 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 13579 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the Jay H. Blackburn's 1730103045?
The Jay H. Blackburn's NPI (National Provider Identifier) Number is 1730103045. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jay H. Blackburn?
The Jay H. Blackburn is physically situated at 105 W. Merchant Street, in the city of New Buffalo, state of MI, with the postal code 491171813.
What is Jay H. Blackburn's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jay H. Blackburn's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1730103045 to Jay H. Blackburn?
The Jay H. Blackburn received its 1730103045 assignment from the Centers for Medicare & Medicaid Services on 2006-07-27.
When was the information pertaining to Jay H. Blackburn most recently updated or revised?
The details related to Jay H. Blackburn, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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