Blackhurst, Victoria Anne

Blackhurst, Victoria Anne is an individual health care provider with primary practice located at 1 Kneeland St , Boston MA 02111-1527. She recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Periodontics. Dental Providers / Periodontics is her primary health care specialty. Blackhurst, Victoria Anne can be contacted via phone (302) 507-3784.

Contact Information

Primary practice address
1 Kneeland St Boston MA 02111-1527
Phone: (302) 507-3784
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN1858465 Massachusetts
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Periodontics 1223P0300X DN1858465 Massachusetts

Profile Details

NPI number 1982198958
LBN Legal business name Blackhurst, Victoria Anne
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2018
Last updated Mar 7th, 2022 - about 2 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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