Individual provider · Type 1 NPI

Russell D. Blackhurst, DMD

General Practice Dentistry · Missoula, MT

NPI number 1801080015 Active

Practice location

913 SW Higgins Ave, 201
Missoula, MT 59803-1461

Fax (406) 721-1213

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X9453 (CO)
General Practice Dentistry Primary 1223G0001X2306 (MT)

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 1801080015

Russell D. Blackhurst, DMD's National Provider Identifier is 1801080015, issued on Aug 30, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Missoula, MT. The record was last updated on Aug 11, 2011.