NPI 1073989497

Blaine Johns

Practitioner Dental Hygienist Jackson, MI

Practice location

Address: 7040 McKay Rd, Jackson, MI 49201-9261
Phone: (517) 740-2596

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 2902014285 (MI)

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Registry record

NPI: 1073989497
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Aug 2015
Record last updated: 19 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.