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

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