Blackwell Dentistry Llc in Chandler - Dental
Blackwell Dentistry Llc - NPI 1164639100
Blackwell Dentistry Llc is a Dental in Chandler, Arizona. Blackwell Dentistry Llc practices all healthcare services and medical treatments related to Dental. The NPI Number for Blackwell Dentistry Llc is 1164639100. The last update date is 2020-08-22.
Blackwell Dentistry Llc's current location address is 600 S Dobson Rd Ste C25, Chandler, Arizona. You can contact this provider via phone number 4807268464 and fax number 4807268465. The mailing address for Blackwell Dentistry Llc is 600 S Dobson Rd Ste C25, Chandler, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blackwell Dentistry Llc |
|---|---|
| Address | 600 S Dobson Rd Ste C25, Chandler, Arizona |
| Phone Number | 4807268464 |
| Fax Number | 4807268465 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST OW |
|---|---|
| Authorized Official Name | Blackwell R Chad |
| Credentials | DMD |
| Telephone Number | 4807268464 |
NPI Number Detail
| NPI Number | 1164639100 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 600 S Dobson Rd Ste C25 |
|---|---|
| City | Chandler |
| State | Arizona (AZ) |
| Post Code | 852245690 |
| Phone Number | 4807268464 |
| Fax Number | 4807268465 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 5291 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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What is the Blackwell Dentistry Llc's 1164639100?
The Blackwell Dentistry Llc's NPI (National Provider Identifier) Number is 1164639100. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Blackwell Dentistry Llc?
The Blackwell Dentistry Llc is situated at 600 S Dobson Rd Ste C25, in the city of Chandler, state of AZ, with the zip code 852245690.
What is Blackwell Dentistry Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Blackwell Dentistry Llc's area of specialization is Dental, and the corresponding taxonomy code that categorizes this field of practice is 261Qd0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164639100 to Blackwell Dentistry Llc?
The Centers for Medicare & Medicaid Services originally issued the 1164639100 to Blackwell Dentistry Llc on 2007-05-17.
When was the information regarding Blackwell Dentistry Llc most recently updated?
The details pertaining to the Blackwell Dentistry Llc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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