Jay H. Blackburn, D.D.S.
General Practice Dentistry · New Buffalo, MI
Practice location
105 W. Merchant StreetNew Buffalo, MI 49117-1813
- Phone
- (269) 469-3140
- Fax
- (269) 469-6182
NPI record
- NPI
- 1730103045
- Entity type
- Individual (Type 1)
- Enumeration date
- July 27, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
13579 | MI |
About Dr. Blackburn
Jay H. Blackburn, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 105 W. Merchant Street, New Buffalo, MI 49117-1813. The NPI number 1730103045 was assigned on July 27, 2006 and the record was last updated on July 8, 2007.
Dr. Blackburn lists a license in the registry: #13579 (MI) 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 Jay H. Blackburn, D.D.S.?
The NPI number is 1730103045.
What is the phone number of Dr. Blackburn?
The phone number listed for the practice location is (269) 469-3140.
Where is Dr. Blackburn located?
105 W. Merchant Street, New Buffalo, MI 49117-1813.
What is the taxonomy code for Dr. Blackburn?
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.