Blasius, Jeffrey Joseph

Blasius, Jeffrey Joseph is an individual health care provider with primary practice located at 1 Kennedy Drive Suite 5, South Burlington VT 05403. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Blasius, Jeffrey Joseph can be contacted via phone (802) 859-9441.

Contact Information

Primary practice address
1 Kennedy Drive Suite 5 South Burlington VT 05403
Phone: (802) 859-9441
Fax: (802) 862-2424
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 0160002114 Vermont

Profile Details

NPI number 1558483602
LBN Legal business name Blasius, Jeffrey Joseph
Credentials DMD MDS MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558483602 NPPES
Vermont MEDICAID 1009824

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