| David S Blackett, DDS | |
|
615 W. Waldrip St., Elma, WA 98541 | |
| (360) 482-4000 | |
| (360) 482-8427 |
| Full Name | David S Blackett |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 615 W. Waldrip St., Elma, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366521817 | NPI | - | NPPES |
| 5043393 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00009588 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| David S Blackett, DDS Po Box D1, Elma, WA 98541-0600 Ph: (360) 482-4000 | David S Blackett, DDS 615 W. Waldrip St., Elma, WA 98541 Ph: (360) 482-4000 |
Thomas Ollmann, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 419 E Young St, Elma, WA 98541 Phone: 360-861-8318 | |
Dr. Michelle S Yu, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 419 E Young St, Elma, WA 98541 Phone: 360-861-8318 |