Jon Jarrod Blackledge, D.M.D

General Practice Dentistry · Springfield, PA

Individual Active NPI

NPI number 1194920264

Practice location

1 W Woodland Ave
Springfield, PA 19064-2325
Phone
(610) 543-5673
Fax
(610) 543-0299

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NPI record

NPI
1194920264
Entity type
Individual (Type 1)
Enumeration date
June 19, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DS037220 PA

About Dr. Blackledge

Jon Jarrod Blackledge, D.M.D is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1 W Woodland Ave, Springfield, PA 19064-2325. The NPI number 1194920264 was assigned on June 19, 2007 and the record was last updated on July 8, 2007.

Dr. Blackledge lists a license in the registry: #DS037220 (PA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jon Jarrod Blackledge, D.M.D?

The NPI number is 1194920264.

What is the phone number of Dr. Blackledge?

The phone number listed for the practice location is (610) 543-5673.

Where is Dr. Blackledge located?

1 W Woodland Ave, Springfield, PA 19064-2325.

What is the taxonomy code for Dr. Blackledge?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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