| Blackhawk Orthodontics, Inc | |
|
4165 Blackhawk Plaza Cir Suite 260 Danville CA 94506-4904 | |
| (925) 736-3311 | |
| (925) 736-3313 |
| Full Name | Blackhawk Orthodontics, Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4165 Blackhawk Plaza Cir, Danville, California |
| Authorized Official Name and Position | Richard J Anthony (PRESIDENT) |
| Authorized Official Contact | 9257363311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackhawk Orthodontics, Inc 4165 Blackhawk Plaza Cir Suite 260 Danville CA 94506-4904 Ph: (925) 736-3311 | Blackhawk Orthodontics, Inc 4165 Blackhawk Plaza Cir Suite 260 Danville CA 94506-4904 Ph: (925) 736-3311 |
| NPI Number | 1790883023 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790883023 | NPI | - | NPPES |
| 180515 | Other | CA | CIGNA PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 34025 (California) | Primary |
Danville Pediatric Dentistry And Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4145 Blackhawk Plaza Cir Ste 203, Danville, CA 94506 Phone: 925-837-7745 | |
Blackhawk Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3880 Blackhawk Rd Ste 100, Danville, CA 94506 Phone: 925-736-3600 Fax: 925-736-4327 | |
Steven L. Ryan Dds, Ms, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 San Ramon Valley Blvd Ste 126, Danville, CA 94526 Phone: 925-552-0490 | |
Dino Javaheri Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 El Cerro Blvd Ste 101, Danville, CA 94526 Phone: 925-837-5889 Fax: 925-837-6419 | |
Gregory K Louie Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 La Gonda Way Ste 101, Danville, CA 94526 Phone: 925-837-2300 Fax: 925-837-0862 | |
Lawrence E. Porteous Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3840 Blackhawk Rd, Suite 110, Danville, CA 94506 Phone: 925-736-9000 Fax: 925-736-9024 | |
Lim & Elrashidy Dds Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 156 Diablo Rd Ste 202, Danville, CA 94526 Phone: 925-837-1742 |