Blackenburg, Tyler

Blackenburg, Tyler is an individual health care provider with primary practice located at 8640 E State Road 70 # D , Bradenton FL 34202-3785. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Blackenburg, Tyler can be contacted via phone (941) 756-3410.

Contact Information

Primary practice address
8640 E State Road 70 # D Bradenton FL 34202-3785
Phone: (941) 756-3410
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DN17591 Florida

Profile Details

NPI number 1164658977
LBN Legal business name Blackenburg, Tyler
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2009
Last updated Jun 8th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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