| Terry D. Blackburne, Dds, Msd, Inc | |
|
707 24th Ave Sw Suite 202 Norman OK 73069-3987 | |
| (405) 329-6106 | |
| (405) 329-6107 |
| Full Name | Terry D. Blackburne, Dds, Msd, Inc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 707 24th Ave Sw, Norman, Oklahoma |
| Authorized Official Name and Position | Terry D. Blackburne (PRESIDENT) |
| Authorized Official Contact | 4053296106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terry D. Blackburne, Dds, Msd, Inc 707 24th Ave Sw Suite 202 Norman OK 73069-3987 Ph: (405) 329-6106 | Terry D. Blackburne, Dds, Msd, Inc 707 24th Ave Sw Suite 202 Norman OK 73069-3987 Ph: (405) 329-6106 |
| NPI Number | 1326104464 |
|---|---|
| Provider Enumeration Date | 12/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326104464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 3554 (Oklahoma) | Primary |
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