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

Dr. Jaclyn Blyholder, DMD

Individual provider Dentist · NPI 1780139659

Dr. Jaclyn Blyholder, DMD is a Dentist in Wichita, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2016
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

639 S Hillside
Wichita, KS 67211
Phone: (316) 684-4921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 61247 (KS)

Record details

NPI number1780139659
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 22, 2016
Last updated in NPPESAugust 22, 2016
Mailing address639 S. Hillside, Wichita, KS 67211

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