Lawrence Burnett Blackmon in Rancho Mirage - Dentist
Lawrence Burnett Blackmon - NPI 1891907614
Lawrence Burnett Blackmon is a Dentist in Rancho Mirage, California. Lawrence Burnett Blackmon practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lawrence Burnett Blackmon is 1891907614. The last update date is 2007-07-08.
Lawrence Burnett Blackmon's current location address is 69730 Highway 111, Rancho Mirage, California. You can contact this provider via phone number 7603218869 and fax number 7603249929. The mailing address for Lawrence Burnett Blackmon is 69730 Highway 111, Rancho Mirage, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lawrence Burnett Blackmon |
|---|---|
| Address | 69730 Highway 111, Rancho Mirage, California |
| Phone Number | 7603218869 |
| Fax Number | 7603249929 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1891907614 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 69730 Highway 111 |
|---|---|
| City | Rancho Mirage |
| State | California (CA) |
| Post Code | 922702869 |
| Phone Number | 7603218869 |
| Fax Number | 7603249929 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 38041 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the Lawrence Burnett Blackmon's 1891907614?
The Lawrence Burnett Blackmon's NPI (National Provider Identifier) Number is 1891907614. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Lawrence Burnett Blackmon?
The Lawrence Burnett Blackmon is physically situated at 69730 Highway 111, in the city of Rancho Mirage, state of CA, with the postal code 922702869.
What is Lawrence Burnett Blackmon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lawrence Burnett Blackmon is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1891907614 to Lawrence Burnett Blackmon?
The Lawrence Burnett Blackmon received its 1891907614 assignment from the Centers for Medicare & Medicaid Services on 2007-05-04.
As of what date were the details pertaining to Lawrence Burnett Blackmon last refreshed?
The information related to the Lawrence Burnett Blackmon, including its address, specialty, and other relevant details, was last updated on 2007-07-08.