Blackhurst, Russell D

Blackhurst, Russell D is an individual health care provider with primary practice located at 913 Sw Higgins Ave 201, Missoula MT 59803-1461. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Blackhurst, Russell D can be contacted via phone (406) 721-2686.

Contact Information

Primary practice address
913 Sw Higgins Ave 201 Missoula MT 59803-1461
Phone: (406) 721-2686
Fax: (406) 721-1213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 9453 Colorado
Dental Providers / General Practice 1223G0001X 2306 Montana

Profile Details

NPI number 1801080015
LBN Legal business name Blackhurst, Russell D
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2007
Last updated Aug 11th, 2011 - about 13 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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