| Blackwood Family Dentistry | |
|
501 Garfield St Quinter KS 67752-9795 | |
| (785) 754-2441 | |
| (785) 754-2466 |
| Full Name | Blackwood Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 501 Garfield St, Quinter, Kansas |
| Authorized Official Name and Position | Eric Blackwood (DENTIST) |
| Authorized Official Contact | 7857542441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackwood Family Dentistry Po Box 557 501 Garfield Quinter KS 67752-0557 Ph: (785) 754-2441 | Blackwood Family Dentistry 501 Garfield St Quinter KS 67752-9795 Ph: (785) 754-2441 |
| NPI Number | 1497839013 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497839013 | NPI | - | NPPES |
| 103514 | Other | KS | DORAL LOCATION NUMBER |
| 116736 | Other | KS | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 60189 (Kansas) | Primary |