Russell Scott Blackman in Phoenix - General Practice

Russell Scott Blackman - NPI 1700866910

Russell Scott Blackman is a General Practice in Phoenix, Arizona. Russell Scott Blackman practices all healthcare services and medical treatments related to General Practice. The NPI Number for Russell Scott Blackman is 1700866910. The last update date is 2007-07-08.

Russell Scott Blackman's current location address is 16845 N 29th Ave, Phoenix, Arizona. You can contact this provider via phone number 6028660418 and fax number 6028621194. The mailing address for Russell Scott Blackman is 16845 N 29th Ave, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Russell Scott Blackman
Address 16845 N 29th Ave, Phoenix, Arizona
Phone Number 6028660418
Fax Number 6028621194
Sole Proprietor X
Credentials D.D.S.

NPI Number Detail

NPI Number 1700866910
Provider Enumeration Date 2006-01-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 16845 N 29th Ave
City Phoenix
State Arizona (AZ)
Post Code 850533053
Phone Number 6028660418
Fax Number 6028621194

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 2325
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Russell Scott Blackman

What is the unique identifier code issued to Russell Scott Blackman by the Centers for Medicare & Medicaid Services (CMS)?

The Russell Scott Blackman has been assigned the NPI (National Provider Identifier) 1700866910. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Russell Scott Blackman's facilities are situated?

The facilities of Russell Scott Blackman are physically located at the following address: 16845 N 29Th Ave, Phoenix, AZ, 850533053.

What is Russell Scott Blackman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Russell Scott Blackman is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date did the Russell Scott Blackman receive the assignment of its 1700866910 from the Centers for Medicare & Medicaid Services?

The Russell Scott Blackman was issued its 1700866910 by the Centers for Medicare & Medicaid Services on 2006-01-23.

When was the information related to Russell Scott Blackman most recently updated or refreshed?

The details pertaining to the Russell Scott Blackman, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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