Harry Blackmon in Bennettsville - General Practice

Harry Blackmon - NPI 1154306751

Harry Blackmon is a General Practice in Bennettsville, South Carolina. Harry Blackmon practices all healthcare services and medical treatments related to General Practice. The NPI Number for Harry Blackmon is 1154306751. The last update date is 2007-07-08.

Harry Blackmon's current location address is 500 E Main St, Bennettsville, South Carolina. You can contact this provider via phone number 8434794085 and fax number 8434798991. The mailing address for Harry Blackmon is 500 E Main St, Bennettsville, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Harry Blackmon
Address 500 E Main St, Bennettsville, South Carolina
Phone Number 8434794085
Fax Number 8434798991
Sole Proprietor X
Credentials DMD

NPI Number Detail

NPI Number 1154306751
Provider Enumeration Date 2005-12-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 500 E Main St
City Bennettsville
State South Carolina (SC)
Post Code 295123210
Phone Number 8434794085
Fax Number 8434798991

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 2392
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2392 SC --

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FAQs about Harry Blackmon

What is the unique 10-digit identifier code assigned to Harry Blackmon by the Centers for Medicare & Medicaid Services?

The Harry Blackmon has been issued the NPI (National Provider Identifier) 1154306751 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Harry Blackmon?

The Harry Blackmon is physically situated at 500 E Main St, in the city of Bennettsville, state of SC, with the postal code 295123210.

What is Harry Blackmon's area of expertise and its corresponding taxonomy classification?

The Harry Blackmon's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1154306751 to Harry Blackmon?

The Centers for Medicare & Medicaid Services assigned the 1154306751 to Harry Blackmon on 2005-12-07.

As of what date was the information regarding Harry Blackmon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Harry Blackmon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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