Organization · Type 2 NPI
Blackwell Dentistry LLC
Dental Clinic/Center · Chandler, AZ
NPI number
1164639100
Active
Practice location
600 S Dobson Rd Ste C25
Chandler, AZ 85224-5690
Fax (480) 726-8465
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 5291 (AZ) |
Dental Clinic/Center: Definition to come...
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About NPI 1164639100
Blackwell Dentistry LLC's National Provider Identifier is 1164639100, issued on May 17, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chandler, AZ. The record was last updated on Aug 22, 2020.