| Jared Bloxham, Pllc | |
|
1363 Columbia Park Trl Ste 101 Richland WA 99352-4770 | |
| (509) 578-5770 | |
| Not Available |
| Full Name | Jared Bloxham, Pllc |
|---|---|
| Speciality | Dentist - Orofacial Pain |
| Location | 1363 Columbia Park Trl Ste 101, Richland, Washington |
| Authorized Official Name and Position | Jared V Bloxham (OWNER) |
| Authorized Official Contact | 5093668607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Bloxham, Pllc 1363 Columbia Park Trl Ste 101 Richland WA 99352-4770 Ph: (509) 578-5770 | Jared Bloxham, Pllc 1363 Columbia Park Trl Ste 101 Richland WA 99352-4770 Ph: (509) 578-5770 |
| NPI Number | 1194344614 |
|---|---|
| Provider Enumeration Date | 04/14/2020 |
| Last Update Date | 03/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194344614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X2210X | Dentist - Orofacial Pain | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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