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DR. JARED V BLOXHAM D.D.S. NPI 1386741239


NPI Information

NPI: 1386741239
Provider Name: DR. JARED V BLOXHAM, D.D.S.
Classification: Dentist - 1223X2210X
Entity Type: Individual

Specialization: Orofacial Pain

Address:
1363 COLUMBIA PARK TRL STE 101
RICHLAND, WA
ZIP 99352
Phone: (509) 578-5770
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DR. Jared V Bloxham, D.D.S. is an orofacial pain dentist in Richland, WA. The provider is a dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain. DR. Jared V Bloxham, D.D.S. NPI is 1386741239. 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:

1363 COLUMBIA PARK TRL STE 101
RICHLAND, WA
ZIP 99352-770
Phone: (509) 578-5770
Fax: (509) 578-5774

The enumeration date for this NPI number is 9/20/2006 and was last updated on 3/16/2020.


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 Practice10135WASHINGTONNo
21223X2210XDentistOrofacial Pain10135WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15049150MEDICAIDWASHINGTON

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: 5/5/2024

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