| Bbccs Pllc | |
|
2145 Woodlane Dr Ste 104 Woodbury MN 55125-1920 | |
| (651) 738-8204 | |
| Not Available |
| Full Name | Bbccs Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2145 Woodlane Dr Ste 104, Woodbury, Minnesota |
| Authorized Official Name and Position | Brian Eugene Blackwell (DENTIST) |
| Authorized Official Contact | 4066980293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bbccs Pllc 11077 Sweetwater Path Saint Paul MN 55129-5292 Ph: (406) 698-0293 | Bbccs Pllc 2145 Woodlane Dr Ste 104 Woodbury MN 55125-1920 Ph: (651) 738-8204 |
| NPI Number | 1073327995 |
|---|---|
| Provider Enumeration Date | 02/03/2025 |
| Last Update Date | 02/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073327995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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