Jeffrey Joseph Blasius in South Burlington - Orthodontics And Dentofacial Orthopedics

Jeffrey Joseph Blasius - NPI 1558483602

Jeffrey Joseph Blasius is a Orthodontics And Dentofacial Orthopedics in South Burlington, Vermont. Jeffrey Joseph Blasius practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Jeffrey Joseph Blasius is 1558483602. The last update date is 2007-07-08.

Jeffrey Joseph Blasius's current location address is 1 Kennedy Drive, South Burlington, Vermont. You can contact this provider via phone number 8028599441 and fax number 8028622424. The mailing address for Jeffrey Joseph Blasius is 1 Kennedy Drive, South Burlington, Vermont. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Joseph Blasius
Address 1 Kennedy Drive, South Burlington, Vermont
Phone Number 8028599441
Fax Number 8028622424
Sole Proprietor N
Credentials DMD MDS MP

NPI Number Detail

NPI Number 1558483602
Provider Enumeration Date 2007-04-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1 Kennedy Drive
City South Burlington
State Vermont (VT)
Post Code 5403
Phone Number 8028599441
Fax Number 8028622424

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 160002114
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1009824 VT --

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FAQs about Jeffrey Joseph Blasius

What is the unique provider identifier assigned to Jeffrey Joseph Blasius?

The Jeffrey Joseph Blasius has been issued the NPI (National Provider Identifier) 1558483602 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Jeffrey Joseph Blasius's physical address?

The Jeffrey Joseph Blasius is physically located at 1 Kennedy Drive, in the city of South Burlington, VT, with the postal code 5403.

What is the Jeffrey Joseph Blasius's specialty and taxonomy code?

The Jeffrey Joseph Blasius's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.

When did the Jeffrey Joseph Blasius receive its 1558483602?

The Jeffrey Joseph Blasius was issued its 1558483602 on 2007-04-06, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Jeffrey Joseph Blasius last refreshed?

The information related to the Jeffrey Joseph Blasius, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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