Jeffrey Lee Blackburn, DDS

Dentist · Lansing, MI

Individual Active NPI

NPI number 1063570679

Practice location

2500 East Jolly Road
Lansing, MI 48910
Phone
(517) 393-8500
Fax
(517) 393-8596

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NPI record

NPI
1063570679
Entity type
Individual (Type 1)
Enumeration date
December 5, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 11779 MI

About Dr. Blackburn

Jeffrey Lee Blackburn, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2500 East Jolly Road, Lansing, MI 48910. The NPI number 1063570679 was assigned on December 5, 2006 and the record was last updated on July 8, 2007.

Dr. Blackburn lists a license in the registry: #11779 (MI) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jeffrey Lee Blackburn, DDS?

The NPI number is 1063570679.

What is the phone number of Dr. Blackburn?

The phone number listed for the practice location is (517) 393-8500.

Where is Dr. Blackburn located?

2500 East Jolly Road, Lansing, MI 48910.

What is the taxonomy code for Dr. Blackburn?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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