Bryan Blazer, D.D.S.
Dentist · Joint Base Langley-Eustis, VA
Practice location
77 Nealy Ave633d Medical Group
Joint Base Langley-Eustis, VA 23665-2040
- Phone
- (764) 225-5039
NPI record
- NPI
- 1851677850
- Entity type
- Individual (Type 1)
- Enumeration date
- October 24, 2011
- Last updated
- October 24, 2011
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
019.028688 | IL |
About Dr. Blazer
Bryan Blazer, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 77 Nealy Ave, 633d Medical Group, Joint Base Langley-Eustis, VA 23665-2040. The NPI number 1851677850 was assigned on October 24, 2011 and the record was last updated on October 24, 2011.
Dr. Blazer lists a license in the registry: #019.028688 (IL) 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 Bryan Blazer, D.D.S.?
The NPI number is 1851677850.
What is the phone number of Dr. Blazer?
The phone number listed for the practice location is (764) 225-5039.
Where is Dr. Blazer located?
77 Nealy Ave, 633d Medical Group, Joint Base Langley-Eustis, VA 23665-2040.
What is the taxonomy code for Dr. Blazer?
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.