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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PAUL J BLAHA, DDS MS

Active

DR. PAUL J BLAHA, DDS MS is a Periodontology healthcare provider located in SYCAMORE, Illinois. NPI 1124134283 is currently active in the NPPES registry. Verify at CMS.

Periodontology · SYCAMORE, IL

Registration Details

NPI Number
1124134283
Provider Type
Individual
Gender
Male
NPI Issued
Aug 22, 2006 (19.936453369144 yrs)
Last Updated
Jul 8, 2007

Practice Information

Address
1976 ABERDEEN COURT
SUITE A
SYCAMORE, IL, 60178
Browse IL providers · Browse ZIP 60178
Phone
8157583457
Fax
8157580274
Primary Specialty
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.