Jeffrey P Blair, DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

License

0401006754 Issued in VA

Legal business name

JEFFREY P BLAIR, DDS, PC

Practice address

12205 Gayton Rd
Henrico, VA 23238-3212

Phone

(804) 741-1400

Fax

(804) 741-7700

NPI assigned

Oct 21, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffery P Blair, DDS

Title

Owner/President

Phone

(804) 741-1400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1720416290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12205 GAYTON RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232383212",
            "telephone_number": "804-741-1400",
            "fax_number": "804-741-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12205 GAYTON RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232383212",
            "telephone_number": "804-741-1400",
            "fax_number": "804-741-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY P BLAIR, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "804-741-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401006754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9178644",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah James
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• Jade Jarrell
• Kathy Bowman Jarrell, OTR, CHT
• Jeffrey a Neal DDS PC (Who Does Your Teeth)
• Todnee Marie Jeffries, MA, LPC
• Nachelle Jenkins, M.S LPC
• Samantha Taylor Jenkins
• Adrienne Holland Jennings
• Fatima Jennings

• Dentist in Henrico, VA
• Providers in Henrico, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.