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Search › Illinois › General Practice Dentistry

Aaron Blakely, D.M.D

NPI 1215096037 · on the registry since 2006 · sole proprietor

Practice

Address
112 W Adams St
Havana, IL 62644
Phone
(309) 543-6301
Fax
(309) 543-4958
Organisation at this address
Liberty Dental, Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois