John Walton Blackman Iii Dds in Winston Salem - General Practice

John Walton Blackman Iii Dds - NPI 1790981330

John Walton Blackman Iii Dds is a General Practice in Winston Salem, North Carolina. John Walton Blackman Iii Dds practices all healthcare services and medical treatments related to General Practice. The NPI Number for John Walton Blackman Iii Dds is 1790981330. The last update date is 2020-08-22.

John Walton Blackman Iii Dds's current location address is 1409 H Plaza West Rd, Winston Salem, North Carolina. You can contact this provider via phone number 3367609258 and fax number 3366599258. The mailing address for John Walton Blackman Iii Dds is 1409 H Plaza West Rd, Winston Salem, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization John Walton Blackman Iii Dds
Address 1409 H Plaza West Rd, Winston Salem, North Carolina
Phone Number 3367609258
Fax Number 3366599258
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER DENT
Authorized Official Name Blackman Walton John
Credentials DDS
Telephone Number 3367609258

NPI Number Detail

NPI Number 1790981330
Provider Enumeration Date 2007-06-21
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1409 H Plaza West Rd
City Winston Salem
State North Carolina (NC)
Post Code 271031418
Phone Number 3367609258
Fax Number 3366599258

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 3165
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 John Walton Blackman Iii Dds

What is the unique 10-digit identifier code issued to John Walton Blackman Iii Dds by the Centers for Medicare & Medicaid Services?

The John Walton Blackman Iii Dds has been assigned the NPI (National Provider Identifier) 1790981330 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where John Walton Blackman Iii Dds is physically located?

The John Walton Blackman Iii Dds is situated at the following address: 1409 H Plaza West Rd, Winston Salem, NC 271031418.

What is John Walton Blackman Iii Dds'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 Iii Dds is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1790981330 to John Walton Blackman Iii Dds?

The Centers for Medicare & Medicaid Services originally issued the 1790981330 to John Walton Blackman Iii Dds on 2007-06-21.

As of what date was the information regarding John Walton Blackman Iii Dds, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to John Walton Blackman Iii Dds, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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