IndividualActive
Jeffrey Blackburn, DDS
NPI 1063570679 · Dentist · Lansing, MI
Jeffrey Blackburn, DDS is a Dentist provider in Lansing, MI (NPI 1063570679).
Provider details
- NPI number
- 1063570679
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 11779 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2500 East Jolly Road
Lansing, MI 48910
Phone: (517) 393-8500
Fax: (517) 393-8596
Street-level locationGet directions
Mailing address
2500 East Jolly Road
Lansing, MI 48910
Registry dates
- Enumerated
- 2006-12-05
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jeffrey Blackburn's NPI number?
- Jeffrey Blackburn's National Provider Identifier (NPI) is 1063570679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffrey Blackburn's specialty?
- Jeffrey Blackburn is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jeffrey Blackburn located?
- Jeffrey Blackburn's practice location on file with NPPES is 2500 East Jolly Road, Lansing, MI 48910.
- What is Jeffrey Blackburn's phone number?
- The practice phone number listed in the NPPES registry for Jeffrey Blackburn is (517) 393-8500.
- Is Jeffrey Blackburn's NPI active?
- Yes — Jeffrey Blackburn's NPI (1063570679) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.