John Walton Blackman in Winston Salem - Dentist
John Walton Blackman - NPI 1063637668
John Walton Blackman is a Dentist in Winston Salem, North Carolina. John Walton Blackman practices all healthcare services and medical treatments related to Dentist. The NPI Number for John Walton Blackman is 1063637668. The last update date is 2007-07-08.
John Walton Blackman's current location address is 1409 Plaza West Road, Winston Salem, North Carolina. You can contact this provider via phone number 3367609258 and fax number 3366599258. The mailing address for John Walton Blackman is 1409 Plaza West Road, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Walton Blackman |
|---|---|
| Address | 1409 Plaza West Road, Winston Salem, North Carolina |
| Phone Number | 3367609258 |
| Fax Number | 3366599258 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1063637668 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1409 Plaza West Road |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 27103 |
| Phone Number | 3367609258 |
| Fax Number | 3366599258 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 3165 |
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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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What is the unique 10-digit identifier code assigned to John Walton Blackman by the Centers for Medicare & Medicaid Services?
The John Walton Blackman has been issued the NPI (National Provider Identifier) 1063637668 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the John Walton Blackman located?
The John Walton Blackman is located at 1409 Plaza West Road, Winston Salem, NC 27103.
What is John Walton Blackman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John Walton Blackman is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did John Walton Blackman receive its 1063637668 assignment from the Centers for Medicare & Medicaid Services?
The John Walton Blackman was assigned its 1063637668 on 2007-04-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding John Walton Blackman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to John Walton Blackman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.