Jefferson Blackburn, DDS
NPI 1760401913 · Dentist · Midlothian, VA
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jefferson Blackburn, DDS is a Dentist provider in Midlothian, VA (NPI 1760401913).
Provider details
- NPI number
- 1760401913
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6533 (VA)
Specialties & taxonomies
Dental Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-07-19
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jefferson Blackburn's NPI number?
- Jefferson Blackburn's National Provider Identifier (NPI) is 1760401913, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jefferson Blackburn's specialty?
- Jefferson Blackburn is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jefferson Blackburn located?
- Jefferson Blackburn's practice location on file with NPPES is 2301 Robious Station Cir, Midlothian, VA 23113-2124.
- What is Jefferson Blackburn's phone number?
- The practice phone number listed in the NPPES registry for Jefferson Blackburn is (804) 378-7888.
- Does Jefferson Blackburn accept Medicare?
- Jefferson Blackburn is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jefferson Blackburn's NPI active?
- Yes — Jefferson Blackburn's NPI (1760401913) 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.