Individual provider · Type 1 NPI

Russell Scott Blackman, DDS

General Practice Dentistry · Phoenix, AZ

NPI number 1700866910 Active

Practice location

16845 N 29th Ave, Suite 6
Phoenix, AZ 85053-3053

Fax (602) 862-1194

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2325 (AZ)

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.

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About NPI 1700866910

Russell Scott Blackman, DDS's National Provider Identifier is 1700866910, issued on Jan 23, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 13, 2026.