Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AARON JAMES BLAKELY, D.M.D.
Active Sole ProprietorGeneral Dentistry · HAVANA, IL
Registration Details
- NPI Number
- 1215096037
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 7, 2006 (19.398253545319 yrs)
- Last Updated
- Jul 8, 2007
- License
-
019-024184 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
112 W ADAMS STHAVANA, IL, 626441337Browse IL providers · Browse ZIP 62644
- Phone
- 3095436301
- Fax
- 3095434958
- Primary Specialty
-
General Dentistry
1223G0001X
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.