Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Blair Alexander Isom, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1922365402

Blair Alexander Isom, DDS is an Oral and Maxillofacial Surgery (Dentist) in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in California, Nevada and Washington.

Licensed in
CA, NV, WA
In the registry since
2012
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

9368 Bronze River Ave
Las Vegas, NV 89149-1687
Phone: (509) 822-8725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence S2-144C (NV)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 58883 (CA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence DE60351030 (WA)

Record details

NPI number1922365402
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 20, 2012
Last updated in NPPESJune 27, 2016
Mailing address9368 Bronze River Ave, Las Vegas, NV 89149-1687

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