Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID JENNINGS BLONG, D.D.S.
Active Sole ProprietorDR. DAVID JENNINGS BLONG, D.D.S. is a General Dentistry healthcare provider located in WASHBURN, Wisconsin. NPI 1639190143 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · WASHBURN, WI
Registration Details
- NPI Number
- 1639190143
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2006 (20.065989272566 yrs)
- Last Updated
- Mar 27, 2019
- License
-
5709-015 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16 E BAYFIELD STWASHBURN, WI, 548914401Browse WI providers · Browse ZIP 54891
- Phone
- 7153732612
- 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.