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

BRENT L BLAYLOCK DDS PA

Active Organization

BRENT L BLAYLOCK DDS PA is a General Dentistry organization located in DURHAM, North Carolina. NPI 1194838755 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · DURHAM, NC

Registration Details

NPI Number
1194838755
Provider Type
Organization
NPI Issued
Aug 17, 2006 (19.812616205709 yrs)
Last Updated
Jul 7, 2008
License
4970 (NC)

Practice Information

Address
3206 OLD CHAPEL HILL RD STE 300
DURHAM, NC, 277073688
Browse NC providers · Browse ZIP 27707
Phone
9194938036
Fax
9194936060
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.