IndividualActive
Aaron Blakely, D.M.D.
NPI 1215096037 · General Practice Dentistry · Havana, IL
Provider details
- NPI number
- 1215096037
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 019-024184 (IL)
Practice location
112 W Adams St
Havana, IL 62644-1337
Phone: (309) 543-6301
Fax: (309) 543-4958
Mailing address
112 W Adams St
Havana, IL 62644-1337
Registry dates
- Enumerated
- 2006-12-07
- Last updated
- 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.