Blackwell, David
Blackwell, David is an sole proprietor health care provider with primary practice located at 1788 Highway 157 N Ste 105, Mansfield TX 76063-3989. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Blackwell, David can be contacted via phone (817) 473-2222.Contact Information
Primary practice address
1788 Highway 157 N Ste 105
Mansfield TX 76063-3989
Phone: (817) 473-2222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 13721 | Texas |
Profile Details
| NPI number | 1982895454 |
|---|---|
| LBN Legal business name | Blackwell, David |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2007 |
| Last updated | Aug 8th, 2007 - about 18 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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