Susan Lynn Blackburn in Kokomo - General Practice
Susan Lynn Blackburn - NPI 1760502785
Susan Lynn Blackburn is a General Practice in Kokomo, Indiana. Susan Lynn Blackburn practices all healthcare services and medical treatments related to General Practice. The NPI Number for Susan Lynn Blackburn is 1760502785. The last update date is 2007-07-08.
Susan Lynn Blackburn's current location address is 200 S Dixon Rd, Kokomo, Indiana. You can contact this provider via phone number 7654563015 and fax number 7654561825. The mailing address for Susan Lynn Blackburn is 200 S Dixon Rd, Kokomo, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Lynn Blackburn |
|---|---|
| Address | 200 S Dixon Rd, Kokomo, Indiana |
| Phone Number | 7654563015 |
| Fax Number | 7654561825 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1760502785 |
|---|---|
| Provider Enumeration Date | 2007-03-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 200 S Dixon Rd |
|---|---|
| City | Kokomo |
| State | Indiana (IN) |
| Post Code | 469015073 |
| Phone Number | 7654563015 |
| Fax Number | 7654561825 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12007734A |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Susan Lynn Blackburn by the Centers for Medicare & Medicaid Services?
The Susan Lynn Blackburn has been issued the NPI (National Provider Identifier) 1760502785 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Susan Lynn Blackburn is physically located?
The Susan Lynn Blackburn is situated at the following address: 200 S Dixon Rd, Kokomo, IN 469015073.
What is Susan Lynn Blackburn's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Susan Lynn Blackburn is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
When did the Susan Lynn Blackburn receive its 1760502785?
The Susan Lynn Blackburn was issued its 1760502785 on 2007-03-31, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Susan Lynn Blackburn last refreshed?
The information related to the Susan Lynn Blackburn, including its address, specialty, and other relevant details, was last updated on 2007-07-08.