| Blackwell Dentistry | |
|
1520 S Main St Blackwell OK 74631-4941 | |
| (918) 960-4013 | |
| Not Available |
| Full Name | Blackwell Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1520 S Main St, Blackwell, Oklahoma |
| Authorized Official Name and Position | Aaron Martin Neale (OWNER) |
| Authorized Official Contact | 5803630728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackwell Dentistry 1520 S Main St Blackwell OK 74631-4941 Ph: (918) 960-4013 | Blackwell Dentistry 1520 S Main St Blackwell OK 74631-4941 Ph: (918) 960-4013 |
| NPI Number | 1295168748 |
|---|---|
| Provider Enumeration Date | 08/19/2013 |
| Last Update Date | 08/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295168748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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