Individual provider · Type 1 NPI

Dennis Sidney Blackstad, DO

Family Medicine Physician · Broken Arrow, OK

NPI number 1710040894 Active

Practice location

511 N Aspen Ave
Broken Arrow, OK 74012-2220

Call (918) 806-8050 Map

Fax (918) 995-3773

Mailing address

PO Box 342
Broken Arrow, OK 74013-0342

Other practice locations

  • 11495 S State Highway 51, Coweta, OK 74429-7138 · (918) 727-2780

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X3650 (OK)
Emergency Medicine Physician 207P00000X3650 (OK)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 other providers at this address

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About NPI 1710040894

Dennis Sidney Blackstad, DO's National Provider Identifier is 1710040894, issued on Dec 19, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Broken Arrow, OK. The record was last updated on May 24, 2026.