Blackwood Family Dentistry in Quinter - Dental

Blackwood Family Dentistry - NPI 1497839013

Blackwood Family Dentistry is a Dental in Quinter, Kansas. Blackwood Family Dentistry practices all healthcare services and medical treatments related to Dental. The NPI Number for Blackwood Family Dentistry is 1497839013. The last update date is 2020-08-22.

Blackwood Family Dentistry's current location address is Po Box 557, Quinter, Kansas. You can contact this provider via phone number 7857542441 and fax number 7857542466. The mailing address for Blackwood Family Dentistry is Po Box 557, Quinter, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Blackwood Family Dentistry
Address Po Box 557, Quinter, Kansas
Phone Number 7857542441
Fax Number 7857542466
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST
Authorized Official Name Blackwood Eric
Credentials DDS
Telephone Number 7857542441

NPI Number Detail

NPI Number 1497839013
Provider Enumeration Date 2006-10-24
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address Po Box 557
City Quinter
State Kansas (KS)
Post Code 677520557
Phone Number 7857542441
Fax Number 7857542466

Provider's Primary Taxonomy Detail

Speciality Dental
Taxonomy 261Qd0000X
Licence No 60189
Definition:
Provides general and specialized dental care and oral surgery.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
103514 KS DORAL LOCATION NUMBER
116736 KS BLUE CROSS BLUE SHIELD

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FAQs about Blackwood Family Dentistry

What is the unique 10-digit identifier code assigned to Blackwood Family Dentistry by the Centers for Medicare & Medicaid Services?

The Blackwood Family Dentistry has been issued the NPI (National Provider Identifier) 1497839013 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Blackwood Family Dentistry is physically located?

The Blackwood Family Dentistry is physically situated at the following address: Po Box 557, Quinter, KS, 677520557.

What is the Blackwood Family Dentistry's specialty and taxonomy code?

The Blackwood Family Dentistry's specialty is Dental, and the corresponding taxonomy code is 261Qd0000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1497839013 to Blackwood Family Dentistry?

The Centers for Medicare & Medicaid Services originally issued the 1497839013 to Blackwood Family Dentistry on 2006-10-24.

When was the information regarding Blackwood Family Dentistry, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Blackwood Family Dentistry, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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