Individual provider · Type 1 NPI

Michael Shanahan Blackwood, DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Potomac, MD

NPI number 1972735017 Active

Practice location

10000 Falls Rd, Suite 209
Potomac, MD 20854-4103

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X0401007606 (VA)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400XDEN5374 (DC)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X11187 (MD)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1972735017

Michael Shanahan Blackwood, DDS, MS's National Provider Identifier is 1972735017, issued on Aug 21, 2009. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Potomac, MD. The record was last updated on Aug 21, 2009.