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

KELLY JOHN BLODGETT, DMD

Active

KELLY JOHN BLODGETT, DMD is a Dentist healthcare provider located in PORTLAND, Oregon. NPI 1588796999 is currently active in the NPPES registry. Verify at CMS.

Dentist · PORTLAND, OR

Registration Details

NPI Number
1588796999
Provider Type
Individual
Gender
Male
NPI Issued
Mar 12, 2007 (19.461367933689 yrs)
Last Updated
Jul 8, 2007
License
D7669 (OR)

Practice Information

Address
522 SE BELMONT ST
PORTLAND, OR, 97214
Browse OR providers · Browse ZIP 97214
Phone
5032853620
Fax
5037359015
Primary Specialty
Dentist
122300000X

Other Dentist Providers in PORTLAND, OR

Name Credential NPI
DR. MARK MUTSCHLER DDS, MS 1467455360
DR. DENNIS CRANDALL NICOLA D.D.S. 1619974607
DR. MARY E FISCHER D.M.D. 1184622276
DR. ROBERT L RODRIGUEZ D.M.D. 1295733046
DR. DANIEL L RODRIGUEZ D.D.S. 1083612816
RICHARD D MERCER D.M.D. 1679572424
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.