IndividualActive
Blair Jason
NPI 1699621037 · Pediatric Dentistry · Phoenix, AZ
Provider details
- NPI number
- 1699621037
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- NA (TN)
Specialties & taxonomies
Dental Providers
Practice location
1934 E Camelback Rd
Phoenix, AZ 85016-4126
Phone: (602) 975-5253
Approximate (ZIP-level) locationGet directions
Mailing address
2704 Magellan Dr
Monroe, LA 71201-3144
Registry dates
- Enumerated
- 2026-03-09
- Last updated
- 2026-03-09
- Certified
- 2026-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.