Jefferson T Blackburn, DDS, PLC
NPI 1629278999 · Dental Clinic/Center · Midlothian, VA
Jefferson T Blackburn, DDS, PLC is a Dental Clinic/Center organization in Midlothian, VA (NPI 1629278999).
Provider details
- NPI number
- 1629278999
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jefferson Blackburn, Dentist(804) 378-7888
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Other names (DBA / former)
- Doing business as
- South River Dentistry
Registry dates
- Enumerated
- 2007-07-24
- Last updated
- 2007-07-24
Frequently asked questions
- What is Jefferson T Blackburn, DDS, PLC's NPI number?
- Jefferson T Blackburn, DDS, PLC's National Provider Identifier (NPI) is 1629278999, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jefferson T Blackburn, DDS, PLC?
- Jefferson T Blackburn, DDS, PLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jefferson T Blackburn, DDS, PLC located?
- Jefferson T Blackburn, DDS, PLC's practice location on file with NPPES is 2301 Robious Station Cir, Midlothian, VA 23113-2124.
- What is Jefferson T Blackburn, DDS, PLC's phone number?
- The practice phone number listed in the NPPES registry for Jefferson T Blackburn, DDS, PLC is (804) 378-7888.
- Who is the authorized official for Jefferson T Blackburn, DDS, PLC?
- The authorized official listed on Jefferson T Blackburn, DDS, PLC's NPPES record is Jefferson Blackburn, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jefferson T Blackburn, DDS, PLC's NPI active?
- Yes — Jefferson T Blackburn, DDS, PLC's NPI (1629278999) is active in the NPPES registry as of the last update on 2007-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.