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Robin Nicole Blackman
General Practice Dentistry in Fort Walton Beach, Florida
NPI 1427510312

Robin Nicole Blackman is a General Practice Dentistry based in Fort Walton Beach, FL and is specialized in General Practice. Robin Nicole Blackman practices in Fort Walton Beach, FL. The NPI Number for Robin Nicole Blackman is 1427510312 and holds a License No. (Florida).

The current practice location address for Robin Nicole Blackman is 208 Hospital Dr Ne, Fort Walton Beach, FL and can be reached out via phone at 850-243-8124.

Location: 208 Hospital Dr Ne, Fort Walton Beach, FL, 32548-5068
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427510312
Provider Name
Robin Nicole Blackman
Credential
Provider Entity Type
Individual
Gender
Female
Address
208 Hospital Dr Ne, Fort Walton Beach, FL, 32548-5068
Phone Number
850-243-8124
Fax Number
Provider Enumeration Date
04/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
208 Hospital Dr Ne
City
Fort Walton Beach
State
Florida
Zip
32548-5068
Phone Number
850-243-8124
Fax Number
person
Provider Business Mailing Address Details
Address
208 Hospital Dr Ne
City
Fort Walton Beach
State
Florida
Zip
32548-5068
Phone Number
850-243-8124
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
24314 (Florida)
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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