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NPI Code Detail

MEDICARE: DR. JOSHUA IAIAN BLANE DDS

MEDICARE: DR. JOSHUA IAIAN BLANE DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDEN.00203638CO

General Provider Information

NPI Number : 1982181798
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSHUA IAIAN BLANE DDS
Provider Business Mailing Address
First Line : 5392 S WADSWORTH BLVD UNIT 103
Second Line :
City : LITTLETON
State : CO
Zip : 80123-1271
Country : US
Telephone Number : 303-979-4277
Fax Number :
Provider Business Practice Location Address
First Line : 5392 S WADSWORTH BLVD UNIT 103
Second Line :
City : LITTLETON
State : CO
Zip : 80123-1271
Country : US
Telephone Number : 303-979-4277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2018
Last Update Date : 07/24/2018

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Directions to “ DR. JOSHUA IAIAN BLANE DDS” Practice Location

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