Robert Blackwell is a Dentist in Brookfield, Illinois. Robert Blackwell practices all healthcare services and medical treatments related to Dentist. The NPI Number for Robert Blackwell is 1205964137. The last update date is 2014-04-10.
Robert Blackwell's current location address is 3631 Forest Ave, Brookfield, Illinois. You can contact this provider via phone number 2176213232. The mailing address for Robert Blackwell is 3631 Forest Ave, Brookfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Blackwell |
|---|---|
| Address | 3631 Forest Ave, Brookfield, Illinois |
| Phone Number | 2176213232 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1205964137 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2014-04-10 |
Provider Mailing Address Detail
| Address | 3631 Forest Ave |
|---|---|
| City | Brookfield |
| State | Illinois (IL) |
| Post Code | 605131763 |
| Phone Number | 2176213232 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19018706 |
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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 unique provider identifier assigned to Robert Blackwell?
The Robert Blackwell has been issued the NPI (National Provider Identifier) 1205964137 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Robert Blackwell is geographically located?
The Robert Blackwell is physically situated at the following location: 3631 Forest Ave, Brookfield, IL, 605131763.
What is Robert Blackwell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Robert Blackwell is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205964137 to Robert Blackwell?
The Centers for Medicare & Medicaid Services originally issued the 1205964137 to Robert Blackwell on 2007-03-01.
When was the Robert Blackwell's information last updated?
The Robert Blackwell's information was last updated on 2014-04-10.