Whalio Doctors

NPI 1154938520

Jacob Steven Blackhurst, DDS

Practitioner Dentist Apo, AA

Practice location

Address
Bldg 4-1838 Normandy Dr, Apo, AA 28307-7302
Phone
(910) 432-6190
Mailing address
735 Exeter St, Carthage, NC 28327-1455

Registered specialties

Dentist Primary
Dental Providers Taxonomy 122300000X Licence 11821131-992 (UT)

Registry record

NPI
1154938520
Entity type
Individual
Sex (as registered)
Male
NPI issued
29 Sep 2020
Record last updated
20 Mar 2023

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.