Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRYAN BLAZER, D.D.S.
Active Sole ProprietorDR. BRYAN BLAZER, D.D.S. is a Dentist healthcare provider located in JOINT BASE LANGLEY-EUSTIS, Virginia. NPI 1851677850 is currently active in the NPPES registry. Verify at CMS.
Dentist · JOINT BASE LANGLEY-EUSTIS, VA
Registration Details
- NPI Number
- 1851677850
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 24, 2011 (14.794183628064 yrs)
- Last Updated
- Oct 24, 2011
- License
-
019.028688 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
77 NEALY AVE633D MEDICAL GROUPJOINT BASE LANGLEY-EUSTIS, VA, 236652040Browse VA providers · Browse ZIP 23665
- Phone
- 7642255039
- Primary Specialty
-
Dentist
122300000X
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.