| Craig Blackham, Dds Pc | |
|
7063 Messer Rd Richmond VA 23231-5509 | |
| (804) 222-3310 | |
| (804) 222-3311 |
| Full Name | Craig Blackham, Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 7063 Messer Rd, Richmond, Virginia |
| Authorized Official Name and Position | Craig A Blackham (DENTIST) |
| Authorized Official Contact | 8042223310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Craig Blackham, Dds Pc 7063 Messer Rd Richmond VA 23231-5509 Ph: (804) 222-3310 | Craig Blackham, Dds Pc 7063 Messer Rd Richmond VA 23231-5509 Ph: (804) 222-3310 |
| NPI Number | 1104222736 |
|---|---|
| Provider Enumeration Date | 11/10/2014 |
| Last Update Date | 11/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104222736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401414225 (Virginia) | Primary |
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