Robert Herron Blease Sr., D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

1214 Issued in SC

Practice address

2724 Middleburg Dr
Columbia, SC 29204-2437

Phone

(803) 318-1998

NPI assigned

Feb 5, 2008

Last updated

Feb 5, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1801074695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 MIDDLEBURG DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042437",
            "telephone_number": "803-318-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 MIDDLEBURG DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042437",
            "telephone_number": "803-318-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEASE",
        "first_name": "ROBERT",
        "middle_name": "HERRON",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "1214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark G Blaskis, MD
• Caroline Joy Blatcher, MD
• Joy Beth Blatt
• Mark D Blazek, DPT
• Anna Bleasdale, RN, MSN
• Deborah Elizabeth Bledsoe, CRNA
• Leigh Ann Blendowski
• Mary Blevins
• Sonya Renee Blick, LISW-CP
• Shanice Bligen, LMSW

• Oral and Maxillofacial Surgery (Dentist) in Columbia, SC
• Providers in Columbia, SC by specialty
• Oral and Maxillofacial Surgery (Dentist) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.