Active NPIIndividual providerSole proprietor

Andrew N Blackwell, DMD

Dentist, General Practice in Woodbury, Connecticut

NPI Number1801281241
Practice location
387 Main St S, Woodbury, CT 06798-3412
Fax
—
Last updated
December 3, 2020

Andrew Nicholas Blackwell is a Dentist, General Practice based in Woodbury, CT. Andrew Nicholas Blackwell practices in Woodbury, CT and has the professional credentials of DMD. The NPI Number for Andrew Nicholas Blackwell is 1801281241 and holds a License No. 11-610 (CT). The current practice location address for Andrew Nicholas Blackwell is 387 Main St S, Woodbury, CT 06798-3412 and can be reached out via phone at 203-263-5300.

Provider Profile Details

NPI Number
1801281241
Provider Name
Andrew Nicholas Blackwell
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
387 Main St S, Woodbury, CT 06798-3412
Phone Number
203-263-5300
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
April 2, 2015
Last Update Date
December 3, 2020
Certification Date
December 3, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
387 Main St S
Woodbury, CT 06798-3412
Zip
06798-3412
Phone Number
203-263-5300
Woodbury, CT 06798Get directions →

Provider Business Mailing Address Details

Address
100 Pleasant Dr
Southbury, CT 06488-3231
City
Southbury
State
CT
Zip
06488-3231
Phone Number
973-627-0896

License Information

License Number
11-610
License State
CT
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Andrew N Blackwell, DMD?

The NPI number of Andrew N Blackwell, DMD is 1801281241. It was assigned on April 2, 2015 and is currently active in the NPPES registry.

What is the specialty of Andrew N Blackwell, DMD?

Andrew N Blackwell, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 11-610.

Where does Andrew N Blackwell, DMD practice?

The practice location is 387 Main St S, Woodbury, CT 06798-3412. The office can be reached at 203-263-5300 (phone).

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 1801281241 directly on the NPPES registry website.

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