Provider Type Icon

DR. JASON BRIAN BLUNDELL DDS NPI 1801058276


NPI Information

NPI: 1801058276
Provider Name: DR. JASON BRIAN BLUNDELL, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
410 W BLOOMINGDALE AVE
BRANDON, FL
ZIP 33511
Phone: (813) 531-9116
Get Directions

DR. Jason Brian Blundell, DDS is an oral and maxillofacial surgery dentist in Brandon, FL. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Jason Brian Blundell, DDS NPI is 1801058276. 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:

410 W BLOOMINGDALE AVE
BRANDON, FL
ZIP 33511-402
Phone: (813) 531-9116

The NPI 1801058276 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 6/27/2008 and was last updated on 6/14/2022.


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 Practice0401412191VIRGINIANo
21223S0112XDentistOral and Maxillofacial Surgery23175FLORIDANo
31223S0112XDentistOral and Maxillofacial Surgery0401412191VIRGINIANo
41223S0112XDentistOral and Maxillofacial SurgeryDN23175FLORIDAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.