Dr. Michael L Blackhurst, DDS
Dentist, General Practice in Pennsville, New Jersey
1205040896- Practice location
- 160 S Broadway, Pennsville, NJ 08070-2220
- Phone
- 856-678-5124
- Fax
- 856-678-8637
- Last updated
- July 8, 2007
Michael Lawrence Blackhurst is a Dentist, General Practice based in Pennsville, NJ. Michael Lawrence Blackhurst practices in Pennsville, NJ and has the professional credentials of DDS. The NPI Number for Michael Lawrence Blackhurst is 1205040896 and holds a License No. 22dio1828800 (NJ). The current practice location address for Michael Lawrence Blackhurst is 160 S Broadway, Pennsville, NJ 08070-2220 and can be reached out via phone at 856-678-5124 and via fax at 856-678-8637.
Provider Profile Details
- NPI Number
- 1205040896
- Provider Name
- Michael Lawrence Blackhurst
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 160 S Broadway, Pennsville, NJ 08070-2220
- Phone Number
- 856-678-5124
- Fax Number
- 856-678-8637
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 10, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 160 S Broadway
Pennsville, NJ 08070-2220 - City
- Pennsville
- State
- New Jersey
- Zip
- 08070-2220
- Phone Number
- 856-678-5124
- Fax Number
- 856-678-8637
Provider Business Mailing Address Details
- Address
- 160 S Broadway
Pennsville, NJ 08070-2220 - City
- Pennsville
- State
- NJ
- Zip
- 08070-2220
- Phone Number
- 856-678-5124
- Fax Number
- 856-678-8637
License Information
- License Number (1)
- 22dio1828800
- License State (1)
- NJ
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X · Primary
- License Number (2)
- g10001062
- License State (2)
- DE
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Pennsville, NJ
View all Dentist, General Practice providers in Pennsville →- Braden Dental Of South Jersey PCDentist, General Practice · NPI 1619722469
- Dr. Charles A Evans, DMD LLCDentist, General Practice · NPI 1114120805
- Dr. Jerry J Popeck, DMD PCDentist, General Practice · NPI 1972655017
- Dr. Joel M Richterman, DDSDentist, General Practice · NPI 1932321767
- Joel M. Richterman D.d.s., PADentist, General Practice · NPI 1790907541
- Main Street Dental - PennsvilleDentist, General Practice · NPI 1013447077
Frequently Asked Questions
What is the NPI number of Dr. Michael L Blackhurst, DDS?
The NPI number of Dr. Michael L Blackhurst, DDS is 1205040896. It was assigned on May 10, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Michael L Blackhurst, DDS?
Dr. Michael L Blackhurst, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22dio1828800.
Where does Dr. Michael L Blackhurst, DDS practice?
The practice location is 160 S Broadway, Pennsville, NJ 08070-2220. The office can be reached at 856-678-5124 (phone) or 856-678-8637 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205040896 directly on the NPPES registry website.