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David S Blackett, DDS
General Practice Dentistry in Elma, Washington
NPI 1366521817

David S Blackett is a General Practice Dentistry based in Elma, WA and is specialized in General Practice. David S Blackett practices in Elma, WA and has the professional credentials of DDS. The NPI Number for David S Blackett is 1366521817 and holds a License No. DE00009588 (Washington).

The current practice location address for David S Blackett is 615 W. Waldrip St., Elma, WA and can be reached out via phone at 360-482-4000 and via fax at 360-482-8427.

Location: 615 W. Waldrip St., Elma, WA, 98541-0600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366521817
Provider Name
David S Blackett
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
615 W. Waldrip St., Elma, WA, 98541-0600
Phone Number
360-482-4000
Fax Number
360-482-8427
Provider Enumeration Date
11/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5043393 05 WA
institution
Provider Business Practice Location Address Details
Address
615 W. Waldrip St.
City
Elma
State
Washington
Zip
98541
Phone Number
360-482-4000
Fax Number
360-482-8427
person
Provider Business Mailing Address Details
Address
615 W. Waldrip St.
City
Elma
State
Washington
Zip
98541
Phone Number
360-482-4000
Fax Number
360-482-8427
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DE00009588 (Washington)
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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