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

DR. JACOB STEVEN BLACKHURST, DDS

Active

Dentist · APO, AA

Registration Details

NPI Number: 1154938520
Provider Type: Individual
Gender: Male
NPI Issued: Sep 29, 2020 (5.6241899850694 yrs)
Last Updated: Mar 20, 2023
License: 11821131-992 (UT)

Practice Information

Address: BLDG 4-1838 NORMANDY DR

APO, AA, 283077302
Browse AA providers · Browse ZIP 28307
Phone: 9104326190
Primary Specialty: Dentist
122300000X

Other Dentist Providers in APO, AA

Name	Credential	NPI
DR. TAD CHRISTIAN THOLSTROM	D.D.S.	1174678320
JARROD ROBERT MCALEVY	D.D.S.	1649428566
DR. JONATHAN SCHULZE	D.D.S.	1992931539
DR. JOHN RATNAKER MALLYA	DMD	1942438486
ALLEN CHAN	D.M.D.	1336450444
DR. BRETT BARRY HULET	DDS	1710293584

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.