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DR. BRENT LASHLEY BLAYLOCK DDS NPI 1326151978


NPI Information

NPI: 1326151978
Provider Name: DR. BRENT LASHLEY BLAYLOCK, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
3206 OLD CHAPEL HILL RD STE 300
DURHAM, NC
ZIP 27707
Phone: (919) 493-8036
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DR. Brent Lashley Blaylock, DDS is a general practice dentist in Durham, NC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Brent Lashley Blaylock, DDS NPI is 1326151978. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3206 OLD CHAPEL HILL RD STE 300
DURHAM, NC
ZIP 27707-688
Phone: (919) 493-8036
Fax: (919) 493-6060

The NPI 1326151978 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/17/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice4970NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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