JACOB SCOTT BLEYER DMD NPI 1861912891

NPI Information

Jacob Scott Bleyer, DMD is a student in an organized health care education training program in Dallas, TX. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jacob Scott Bleyer, DMD NPI is 1861912891. 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:

3302 GASTON AVE
DALLAS, TX
ZIP 75246-013
Phone: (618) 694-5332

The enumeration date for this NPI number is 6/21/2017 and was last updated on 6/21/2017.

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:

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