Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396290243 Individual Practitioner Male Practitioner

Dr. Jesse Blair , DDS

Dentist - General Practice • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. Jesse Blair, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fort Wayne, IN. Practice services are available at 2121 E DUPONT RD STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2121 E Dupont Rd Ste A

Fort Wayne, IN 468251546

Telephone 8432810182
Associated Practice Facility / Clinic
🏢 Jesse Blair Dds Llc Facility NPI 1942184361

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
148 Specialists

Practicing in Fort Wayne, IN (2204 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-03-25
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IN 12013093A

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1710071055

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 25, 2021

Registered at 2121 E DUPONT RD STE A, FORT WAYNE, IN 468251546 (Tel: 8432810182)

📍
Updated Business Mailing Address March 25, 2021

Registered at 2121 E DUPONT RD STE A, FORT WAYNE, IN 468251546 (Tel: 2604909684)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2021

Dentist (License #12013093A in IN)

NPI Profile Active August 22, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 22, 2016

Registered at 1586 HIGHWAY 17 N, NORTH MYRTLE BEACH, SC 295822552 (Tel: 8432810181)

📍
Updated Business Mailing Address August 22, 2016

Registered at 1586 HIGHWAY 17 N, NORTH MYRTLE BEACH, SC 295822552 (Tel: 8432810181)

👤
Provider Name / Credentials Updated August 22, 2016

Recorded as JESSE BLAIR, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2016

Dentist (License #8817 in SC)

🟢
Initial NPI Registration & Enumeration August 22, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396290243
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2016
Last Update: March 25, 2021
Sole Proprietor: No

Mailing Address

2121 E Dupont Rd Ste A

Fort Wayne, IN 468251546

Phone: 2604909684

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.