Provider Demographics
NPI:1366888539
Name:BLASING, KAMA JOY (RDH)
Entity type:Individual
Prefix:
First Name:KAMA
Middle Name:JOY
Last Name:BLASING
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 971
Mailing Address - Street 2:
Mailing Address - City:BARROW
Mailing Address - State:AK
Mailing Address - Zip Code:99723-0971
Mailing Address - Country:US
Mailing Address - Phone:541-350-7676
Mailing Address - Fax:
Practice Address - Street 1:1296 AGVIK STREET
Practice Address - Street 2:
Practice Address - City:BARROW
Practice Address - State:AK
Practice Address - Zip Code:99723
Practice Address - Country:US
Practice Address - Phone:907-852-9221
Practice Address - Fax:907-852-9297
Is Sole Proprietor?:No
Enumeration Date:2013-05-15
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORH4307124Q00000X
AK818124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist