Individual provider · Type 1 NPI
Michael Lawrence Blackhurst, DDS
General Practice Dentistry · Pennsville, NJ
NPI number
1205040896
Active
Practice location
160 S Broadway
Pennsville, NJ 08070-2220
Fax (856) 678-8637
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 22DIO1828800 (NJ) |
| General Practice Dentistry | 1223G0001X | G10001062 (DE) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Another provider at this address
Other general practice dentistry providers in Pennsville
About NPI 1205040896
Michael Lawrence Blackhurst, DDS's National Provider Identifier is 1205040896, issued on May 10, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Pennsville, NJ. The record was last updated on Jul 8, 2007.