Organization · Type 2 NPI

Blackburn WC DMD

Dentist · Los Alamitos, CA

NPI number 1982490397 Active

Practice location

3532 Howard Ave Ste 200
Los Alamitos, CA 90720-3699

Fax (562) 430-3754

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	None listed
Dental Anesthesiology	1223D0004X	None listed
Endodontics	1223E0200X	None listed
General Practice Dentistry	1223G0001X	None listed
Oral and Maxillofacial Pathology Dentistry	1223P0106X	None listed
Periodontics	1223P0300X	None listed
Prosthodontics	1223P0700X	None listed
Oral and Maxillofacial Surgery (Dentist)	1223S0112X	None listed
Oral and Maxillofacial Radiology Dentistry	1223X0008X	None listed
Orthodontics and Dentofacial Orthopedics Dentistry	1223X0400X	None listed
Orofacial Pain Dentistry	1223X2210X	None listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1982490397

Blackburn WC DMD's National Provider Identifier is 1982490397, issued on Apr 15, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Los Alamitos, CA. The record was last updated on Mar 4, 2026.