Search › Michigan › 1223G0001X
Jay Blackburn, D.D.S
NPI 1730103045 · on the registry since 2006 · sole proprietor
Practice
- Address
- 105 W. Merchant Street
New Buffalo, MI 49117 - Phone
- (269) 469-3140
- Fax
- (269) 469-6182
- Organisation at this address
- Hillary V. Knight, Dds P.C.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- MI
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 Michigan