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Contact Information

JAMES E BLOOD, DMD
375 DENTAL SQUADRON
310 W. LOSEY ST.
Scott AFB, IL62225
 Phone: 618-256-2750
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JAMES E BLOOD · (Male)

NPI # 1124013982
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 09/16/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 019-20940
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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