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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154996700

Justin Edward Blazejewski, DMD is a Student in an Organized Health Care Education/Training Program in Las Vegas, Nevada. Registered with an NPI since 2021.

In the registry since
2021
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

1860 E Charleston Blvd
Las Vegas, NV 89104-1949
Phone: (702) 779-3668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1154996700
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 26, 2021
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021
Mailing address2250 S Rancho Dr Ste 205, Las Vegas, NV 89102-4456

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