DR. Jon Jarrod Blackledge, D.M.D
NPI #1194920264 in Springfield, Pennsylvania
Provider Information
- NPI Number
- 1194920264
- Entity Type
- Individual
- Name
- DR. Jon Jarrod Blackledge, D.M.D
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D
- Enumeration Date
- Jun 19, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1 W WOODLAND AVE
- City
- Springfield
- State
- Pennsylvania
- ZIP Code
- 19064-2325
- Phone
- (610) 543-5673
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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