BLAINE TRAVIS BOHRER DDS NPI 1861674699

NPI Information

  • NPI: 1861674699
  • Provider Name: BLAINE TRAVIS BOHRER, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 1577 GENERAL BOOTH BLVD
    #107
    VIRGINIA BEACH, VA
    ZIP 23454
  • Phone: (757) 428-8282

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NPI Details

BLAINE TRAVIS BOHRER, DDS is a general practice dentist in Virginia Beach, VA. 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. BLAINE TRAVIS BOHRER, DDS NPI is 1861674699. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1577 GENERAL BOOTH BLVD
#107
VIRGINIA BEACH, VA
ZIP 23454-105
Phone: (757) 428-8282
Fax: (757) 437-0415

The provider's authorized official is Blaine Travis Bohrer .
The authorized official title is Dentist and has the following contact phone number (757) 428-8282.

The enumeration date for this NPI number is 12/4/2007 and was last updated on 12/4/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice0401410722VIRGINIAYes

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: 11/21/2025

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