Individual provider · Type 1 NPI

Susan Lynn Blackburn, DDS

General Practice Dentistry · Kokomo, IN

NPI number 1760502785 Active

Practice location

200 S Dixon Rd
Kokomo, IN 46901-5073

Fax (765) 456-1825

Mailing address

616 Secretariat Cir
Kokomo, IN 46901-3776

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X12007734A (IN)

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.

2 other providers at this address

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About NPI 1760502785

Susan Lynn Blackburn, DDS's National Provider Identifier is 1760502785, issued on Mar 31, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Kokomo, IN. The record was last updated on Jul 8, 2007.