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Shane Kyle Blacker, DDS
Orthodontics and Dentofacial Orthopedic Dentist in Tempe, Arizona
NPI 1184892473

Shane Kyle Blacker is a Orthodontics and Dentofacial Orthopedic Dentist based in Tempe, AZ and is specialized in Orthodontics and Dentofacial Orthopedics. Shane Kyle Blacker practices in Tempe, AZ and has the professional credentials of DDS. The NPI Number for Shane Kyle Blacker is 1184892473 and holds a License No. 6210 (Arizona).

The current practice location address for Shane Kyle Blacker is 6200 S Mcclintock Dr Ste 11, Tempe, AZ and can be reached out via phone at 480-839-6262 and via fax at 480-839-1029.

Location: 6200 S Mcclintock Dr Ste 11, Tempe, AZ, 85283-3268
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184892473
Provider Name
Shane Kyle Blacker
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
6200 S Mcclintock Dr Ste 11, Tempe, AZ, 85283-3268
Phone Number
480-839-6262
Fax Number
480-839-1029
Provider Enumeration Date
02/20/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6200 S Mcclintock Dr Ste 11
City
Tempe
State
Arizona
Zip
85283-3268
Phone Number
480-839-6262
Fax Number
480-839-1029
person
Provider Business Mailing Address Details
Address
6200 S Mcclintock Dr Ste 11
City
Tempe
State
Arizona
Zip
85283-3268
Phone Number
480-839-6262
Fax Number
480-839-1029
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
6210 (Arizona)
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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