Provider Demographics
NPI:1851499735
Name:GEORGE W. BLASHFORD, DMD, PC
Entity type:Organization
Organization Name:GEORGE W. BLASHFORD, DMD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:WASHINGTON
Authorized Official - Last Name:BLASHFORD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:717-243-2372
Mailing Address - Street 1:35 WESTMINSTER DR
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-4369
Mailing Address - Country:US
Mailing Address - Phone:717-243-2372
Mailing Address - Fax:717-243-3835
Practice Address - Street 1:35 WESTMINSTER DR
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-4369
Practice Address - Country:US
Practice Address - Phone:717-243-2372
Practice Address - Fax:717-243-3835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS020739-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty