Individual ProviderEdsel Dean BlairDentistDental ProvidersPractice Address8220 Windmill Watch Dr, Mechanicsville, VA 23116-2962(804) 746-1085PECOS EnrollmentBased on the most recent information from CMS, provider Edsel Dean Blair does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1275657165Provider TypeIndividualFull NameBlair, Edsel DeanTitleDr.CredentialDDSGenderMaleSole ProprietorNoEnumeration Date3/18/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address8220 Windmill Watch Dr, Mechanicsville, VA 23116-2962Phone(804) 746-1085Fax(804) 559-5953Mailing LocationMailing Address8220 Windmill Watch Dr, Mechanicsville, VA 23116-2962Phone(804) 746-1085Fax(804) 559-5953Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense0401005299Virginia