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

Dr. Jason T Blackham, DMD

Individual provider General Practice Dentistry · NPI 1437132537

Dr. Jason T Blackham, DMD is a General Practice Dentistry in Travis AFB, California. Licensed in Utah. Registered with an NPI since 2005.

Licensed in
UT
In the registry since
2005
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

60 Mdg/sgic 101 Bodin Cir
Travis AFB, CA 94535-1800
Phone: (707) 423-7083
Fax: (707) 423-7117
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 264631-9922 (UT)

Record details

NPI number1437132537
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedNovember 22, 2005
Last updated in NPPESJanuary 31, 2020
Certification dateJanuary 31, 2020

Other providers in Travis AFB