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Dr. Jason T Blackham, DMD
General Practice Dentistry in Travis Afb, California
NPI 1437132537

Jason T Blackham is a General Practice Dentistry based in Travis Afb, CA and is specialized in General Practice. Jason T Blackham practices in Travis Afb, CA and has the professional credentials of DMD. The NPI Number for Jason T Blackham is 1437132537 and holds a License No. 264631-9922 (California).

The current practice location address for Jason T Blackham is 60 Mdg/Sgic, Travis Afb, CA and can be reached out via phone at 707-423-7083 and via fax at 707-423-7117.

Location: 60 Mdg/Sgic, Travis Afb, CA, 94535-1809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437132537
Provider Name
Jason T Blackham
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
60 Mdg/Sgic, Travis Afb, CA, 94535-1809
Phone Number
707-423-7083
Fax Number
707-423-7117
Provider Enumeration Date
11/22/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
60 Mdg/Sgic
City
Travis Afb
State
California
Zip
94535-1800
Phone Number
707-423-7083
Fax Number
707-423-7117
person
Provider Business Mailing Address Details
Address
60 Mdg/Sgic
City
Travis Afb
State
California
Zip
94535-1800
Phone Number
707-423-7083
Fax Number
707-423-7117
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
264631-9922 (Utah)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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