Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON T BLACKHAM, DMD
ActiveDR. JASON T BLACKHAM, DMD is a General Dentistry healthcare provider located in TRAVIS AFB, California. NPI 1437132537 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · TRAVIS AFB, CA
Registration Details
- NPI Number
- 1437132537
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 22, 2005 (20.74160587895 yrs)
- Last Updated
- Jan 31, 2020
- License
-
264631-9922 (UT)
Practice Information
- Address
-
60 MDG/SGIC101 BODIN CIRTRAVIS AFB, CA, 945351800Browse CA providers · Browse ZIP 94535
- Phone
- 7074237083
- Fax
- 7074237117
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in TRAVIS AFB, CA
| Name | Credential | NPI |
|---|---|---|
| DR. JEREMY DAVID HAMAL | DDS | 1710974662 |
| DR. SON XUAN VU | DDS | 1134110877 |
| DR. JACK KOJI CHUNG | DDS | 1780665638 |
| DR. EDWARD FRANCIS MITNITSKY | DDS | 1114908084 |
| DR. DEAN ARTHUR PFIRRMAN | D.D.S. | 1376524066 |
| DR. DENNIS WILLIAM KELLY JR. | D.D.S., M.S. | 1376524132 |
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.