Jared Blacker, DDS
Orthodontics · Mesa, AZ
UnclaimedDDSNPI 1194735795
- Primary taxonomy
- 1223X0400X
- Enumerated
- 2006-08-08
- Practice location
- Mesa, AZ
- Last NPPES update
- 2019-07-09
State licenses
- NC · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.