Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1851677850 Individual Practitioner Male Practitioner

Dr. Bryan Blazer , DDS

Dentist • Joint Base Langley-Eustis, VA

Professional Overview & Biography Verified Profile Summary

Dr. Bryan Blazer, DDS is a registered healthcare professional specializing in Dentist in Joint Base Langley-Eustis, VA. Practice services are available at 77 NEALY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

77 Nealy Ave
633d Medical Group

Joint Base Langley-Eustis, VA 236652040

Telephone 7642255039

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Joint Base Langley-Eustis, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Joint Base Langley-Eustis, VA (2514 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019.028688

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Michael Watt

Pharmacist

NPI 1538435052
Dr. Adam Buffington , PhD

Psychologist - Clinical

NPI 1699057323

Doctor of Philosophy (Ph.D.)

NPI 1720617558

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 24, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 24, 2011

Registered at 77 NEALY AVE, 633D MEDICAL GROUP, JOINT BASE LANGLEY-EUSTIS, VA 236652040 (Tel: 7642255039)

📍
Updated Business Mailing Address October 24, 2011

Registered at 77 NEALY AVE, 633D MEDICAL GROUP, JOINT BASE LANGLEY-EUSTIS, VA 236652040

👤
Provider Name / Credentials Updated October 24, 2011

Recorded as BRYAN BLAZER, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2011

Dentist (License #019.028688 in IL)

🟢
Initial NPI Registration & Enumeration October 24, 2011

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: 1851677850
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2011
Last Update: October 24, 2011
Sole Proprietor: Yes

Mailing Address

77 Nealy Ave, 633d Medical Group

Joint Base Langley-Eustis, VA 236652040

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.