Provider Demographics
NPI:1235237140
Name:BLASHFORD, GEORGE WASHINGTON (DMD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:WASHINGTON
Last Name:BLASHFORD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS020739-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice