Organization · Type 2 NPI
Blackhurst Periodontics, P.a.
Periodontics · Wilmington, DE
NPI number
1104751007
Active
Practice location
2710 Centerville Rd Ste 205
Wilmington, DE 19808-1664
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | None listed |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
Other periodontics providers in Wilmington
About NPI 1104751007
Blackhurst Periodontics, P.a.'s National Provider Identifier is 1104751007, issued on Jun 15, 2026. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Wilmington, DE. The record was last updated on Sep 7, 2026.