Blair Dental Services Llc | |
900 S Main St Kendallville IN 46755-2025 | |
(206) 490-9684 | |
Not Available |
Full Name | Blair Dental Services Llc |
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Speciality | Clinic/center - Dental |
Location | 900 S Main St, Kendallville, Indiana |
Authorized Official Name and Position | Jesse Blair (OWNER/DENTIST) |
Authorized Official Contact | 2604909684 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blair Dental Services Llc 900 S Main St Kendallville IN 46755-2025 Ph: () - | Blair Dental Services Llc 900 S Main St Kendallville IN 46755-2025 Ph: (206) 490-9684 |
NPI Number | 1366325060 |
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Provider Enumeration Date | 07/29/2025 |
Last Update Date | 08/04/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366325060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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