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DR. JASON T BLACKHAM DMD
NPI 1437132537
Dentist - General Practice in Travis Afb, CA

Active since November 22, 2005
60 MDG/SGIC, 101 BODIN CIR, TRAVIS AFB, CA 94535(707) 423-7083(707) 423-7117 Get Directions Write a Review

NPPES record last updated: January 31, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 31, 2020, Apr 26, 2018 (2 updates tracked since 2018).

About Dr. Jason T Blackham Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JASON T BLACKHAM DMD (NPI 1437132537) is an individual general practice provider in Travis Afb, California, licensed in Utah (264631-9922) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1437132537
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JASON T BLACKHAMCredential: DMD
Location Address60 MDG/SGIC, 101 BODIN CIRTravis Afb, CA 94535-1800
Mailing Address101 Bodin CirTravis Afb, CA 94535-1809 · (707) 423-7083 · Fax (707) 423-7117
Phone(707) 423-7083
Fax(707) 423-7117
Sole ProprietorNo
Enumeration DateNovember 22, 2005
Last NPPES UpdateJanuary 31, 20202 updates tracked since enumeration
✔ NPI 1437132537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in UT · 264631-9922
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
60 MDG/SGIC, Travis Afb, CA 94535
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN LYNN HARRIS L.C.S.W.
Social Worker (Clinical)
60 MDG/SGIC, 101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-5173
PETER B BELL M.D.
Anesthesiology
60 MDG/SGIC, 101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-4300
ENRIQUE A LARIN DPT
Physical Therapist
60 MDG/SGIC, 101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-7899
DR. LAWRENCE PATRICK MCCARTHY DDS
Dentist (General Practice)
60 MDG/SGIC
TRAVIS AFB, CA 94535
Solano County (707) 423-7008
MRS. SHANNON NICHOLE HEWITT NP-C
Nurse Practitioner (Family)
60 MDG/SGIC, 101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-3964
DR. COREY MARK STANLEY D.D.S.
Dentist
60 MDG/SGIC, 101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-7008
WENDIE S. LI MD
Internal Medicine
60 MDG/SGIC, 101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-7300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Blackham's NPI number?

The NPI number for Jason Blackham is 1437132537. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Jason Blackham located?

Jason Blackham practices at 60 Mdg/Sgic 101 Bodin Cir, Travis Afb, CA 94535. The listed phone number is (707) 423-7083.

What is Jason Blackham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jason Blackham was last updated on January 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.