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BLAINE TRAVIS BOHRER, DDS
NPI 1861674699
Dentist - General Practice in Virginia Beach, VA

Active since December 04, 2007
1577 GENERAL BOOTH BLVD, #107, VIRGINIA BEACH, VA 23454(757) 428-8282(757) 437-0415 Get Directions Write a Review

NPPES record last updated: December 4, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blaine Travis Bohrer, Dds NPPES

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

BLAINE TRAVIS BOHRER, DDS (NPI 1861674699) is a healthcare organization registered as a general practice in Virginia Beach, Virginia and active in the NPI registry since December 2007. The organization lists Blaine Travis Bohrer, Dentist, as its authorized official.

NPPES Registry Identity

NPI1861674699
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBLAINE TRAVIS BOHRER, DDS
Location Address1577 GENERAL BOOTH BLVD, #107Virginia Beach, VA 23454-5105
Mailing Address1577 General Booth Blvd, #107Virginia Beach, VA 23454-5105 · (757) 428-8282 · Fax (757) 437-0415
Phone(757) 428-8282
Fax(757) 437-0415
Organization SubpartNo
Authorized OfficialBlaine Travis BohrerDentist · (757) 428-8282
Enumeration DateDecember 4, 2007
✔ NPI 1861674699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401410722
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.
1577 GENERAL BOOTH BLVD, Virginia Beach, VA 23454
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. BLAINE TRAVIS BOHRER DDS
Dentist (General Practice)
1577 GENERAL BOOTH BLVD, 107
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 428-8282
AMANDA DAVIDSON DPT
Physical Therapist
1577 GENERAL BOOTH BLVD
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 742-3778

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 Blaine Travis Bohrer, Dds's NPI number?

The NPI number for Blaine Travis Bohrer, Dds is 1861674699. It was assigned to this organization in the NPPES registry on December 4, 2007.

Where is Blaine Travis Bohrer, Dds located?

Blaine Travis Bohrer, Dds is located at 1577 General Booth Blvd #107, Virginia Beach, VA 23454. The listed phone number is (757) 428-8282.

What is Blaine Travis Bohrer, Dds'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 Blaine Travis Bohrer, Dds was last updated on December 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.