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Dr. Michael Lawrence Blackhurst, DDS
General Practice Dentistry in Pennsville, New Jersey
NPI 1205040896

Michael Lawrence Blackhurst is a General Practice Dentistry based in Pennsville, NJ and is specialized in General Practice. 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 (New Jersey).

The current practice location address for Michael Lawrence Blackhurst is 160 S Broadway, Pennsville, NJ and can be reached out via phone at 856-678-5124 and via fax at 856-678-8637.

Location: 160 S Broadway, Pennsville, NJ, 08070-2220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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
Provider Enumeration Date
05/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
160 S Broadway
City
Pennsville
State
New Jersey
Zip
08070-2220
Phone Number
856-678-5124
Fax Number
856-678-8637
person
Provider Business Mailing Address Details
Address
160 S Broadway
City
Pennsville
State
New Jersey
Zip
08070-2220
Phone Number
856-678-5124
Fax Number
856-678-8637
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
22DIO1828800 (New Jersey)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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