IndividualActive
Jay Blackburn, D.D.S.
NPI 1730103045 · General Practice Dentistry · New Buffalo, MI
Jay Blackburn, D.D.S. is a General Practice Dentistry provider in New Buffalo, MI (NPI 1730103045).
Provider details
- NPI number
- 1730103045
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 13579 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
105 W. Merchant Street
New Buffalo, MI 49117-1813
Phone: (269) 469-3140
Fax: (269) 469-6182
Street-level locationGet directions
Mailing address
105 W. Merchant Street
New Buffalo, MI 49117-1813
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jay Blackburn's NPI number?
- Jay Blackburn's National Provider Identifier (NPI) is 1730103045, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jay Blackburn's specialty?
- Jay Blackburn is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jay Blackburn located?
- Jay Blackburn's practice location on file with NPPES is 105 W. Merchant Street, New Buffalo, MI 49117-1813.
- What is Jay Blackburn's phone number?
- The practice phone number listed in the NPPES registry for Jay Blackburn is (269) 469-3140.
- Is Jay Blackburn's NPI active?
- Yes — Jay Blackburn's NPI (1730103045) 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.