DR. JACOB BLACKHURST, DDS
Dentist
Active
Individual
NPI: 1154938520
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | 11821131-992 (UT) |
Frequently Asked Questions
NPI 1154938520 is the National Provider Identifier for DR. JACOB BLACKHURST, DDS, a Dentist provider located in Apo, AA. This NPI was enumerated on September 29, 2020.
DR. JACOB BLACKHURST, DDS practices at BLDG 4-1838 NORMANDY DR, Apo, AA 28307.
Quick Facts
- NPI
- 1154938520
- Type
- Individual
- Enumerated
- Sep 29, 2020
- Last Updated
- Mar 20, 2023