Blackwell Dentistry Llc | |
600 S Dobson Rd Ste C25 Chandler AZ 85224-5690 | |
(480) 726-8464 | |
(480) 726-8465 |
Full Name | Blackwell Dentistry Llc |
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Speciality | Clinic/center - Dental |
Location | 600 S Dobson Rd Ste C25, Chandler, Arizona |
Authorized Official Name and Position | Chad R Blackwell (DENTIST OWNER) |
Authorized Official Contact | 4807268464 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blackwell Dentistry Llc 600 S Dobson Rd Ste C25 Chandler AZ 85224-5690 Ph: (480) 726-8464 | Blackwell Dentistry Llc 600 S Dobson Rd Ste C25 Chandler AZ 85224-5690 Ph: (480) 726-8464 |
NPI Number | 1164639100 |
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Provider Enumeration Date | 05/17/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1164639100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 5291 (Arizona) | Primary |
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