Blong Roger LY, DDS

Dentist · Jamestown, CA

Individual Active NPI

NPI number 1255302022

Practice location

5100 Obyrnes Ferry Rd
Jamestown, CA 95327-9102
Phone
(209) 984-5291

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NPI record

NPI
1255302022
Entity type
Individual (Type 1)
Enumeration date
January 30, 2006
Last updated
September 16, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 51106 CA

Mailing address

5100 O'Byrnes Ferry Road
Jamestown, CA 95327
Phone
(209) 984-5291

About Dr. LY

Blong Roger LY, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 5100 Obyrnes Ferry Rd, Jamestown, CA 95327-9102. The NPI number 1255302022 was assigned on January 30, 2006 and the record was last updated on September 16, 2013.

Dr. LY lists a license in the registry: #51106 (CA) 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 Blong Roger LY, DDS?

The NPI number is 1255302022.

What is the phone number of Dr. LY?

The phone number listed for the practice location is (209) 984-5291.

Where is Dr. LY located?

5100 Obyrnes Ferry Rd, Jamestown, CA 95327-9102.

What is the taxonomy code for Dr. LY?

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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