Terry D. Blackburne, Dds, Msd, Inc in Norman - Periodontics

Terry D. Blackburne, Dds, Msd, Inc - NPI 1326104464

Terry D. Blackburne, Dds, Msd, Inc is a Periodontics in Norman, Oklahoma. Terry D. Blackburne, Dds, Msd, Inc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Terry D. Blackburne, Dds, Msd, Inc is 1326104464. The last update date is 2020-08-22.

Terry D. Blackburne, Dds, Msd, Inc's current location address is 707 24th Ave Sw, Norman, Oklahoma. You can contact this provider via phone number 4053296106 and fax number 4053296107. The mailing address for Terry D. Blackburne, Dds, Msd, Inc is 707 24th Ave Sw, Norman, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Terry D. Blackburne, Dds, Msd, Inc
Address 707 24th Ave Sw, Norman, Oklahoma
Phone Number 4053296106
Fax Number 4053296107
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Blackburne D. Terry
Credentials DDS
Telephone Number 4053296106

NPI Number Detail

NPI Number 1326104464
Provider Enumeration Date 2006-12-30
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 707 24th Ave Sw
City Norman
State Oklahoma (OK)
Post Code 730693987
Phone Number 4053296106
Fax Number 4053296107

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 3554
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Terry D. Blackburne, Dds, Msd, Inc

What is the Terry D. Blackburne, Dds, Msd, Inc's 1326104464?

The Terry D. Blackburne, Dds, Msd, Inc's NPI (National Provider Identifier) Number is 1326104464. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Terry D. Blackburne, Dds, Msd, Inc is physically located?

The Terry D. Blackburne, Dds, Msd, Inc is situated at the following address: 707 24Th Ave Sw, Norman, OK 730693987.

What is the Terry D. Blackburne, Dds, Msd, Inc's specialty and taxonomy code?

The Terry D. Blackburne, Dds, Msd, Inc's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.

When was the Terry D. Blackburne, Dds, Msd, Inc's 1326104464 issued?

The Terry D. Blackburne, Dds, Msd, Inc's 1326104464 was issued on 2006-12-30.

As of what date was the information regarding Terry D. Blackburne, Dds, Msd, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Terry D. Blackburne, Dds, Msd, Inc, 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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