Blackman, Russell Scott

Blackman, Russell Scott is an individual health care provider with primary practice located at 16845 N 29Th Ave Suite 6, Phoenix AZ 85053-3053. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Blackman, Russell Scott can be contacted via phone (602) 866-0418.

Contact Information

Primary practice address
16845 N 29Th Ave Suite 6 Phoenix AZ 85053-3053
Phone: (602) 866-0418
Fax: (602) 862-1194
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2325 Arizona

Profile Details

NPI number 1700866910
LBN Legal business name Blackman, Russell Scott
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 8th, 2007 - about 17 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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