Individual provider · Type 1 NPI

Robert Blackwell

Dentist · Brookfield, IL

NPI number 1205964137 Active

Practice location

3631 Forest Ave, Unit D
Brookfield, IL 60513-1763

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019018706 (IL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1205964137

Robert Blackwell's National Provider Identifier is 1205964137, issued on Mar 1, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Brookfield, IL. The record was last updated on Apr 10, 2014.