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Dr. Victoria Anne Blackhurst, DDS
Periodontist in Boston, Massachusetts
NPI 1982198958

Victoria Anne Blackhurst is a Periodontist based in Boston, MA and is specialized in Periodontics. Victoria Anne Blackhurst practices in Boston, MA and has the professional credentials of DDS. The NPI Number for Victoria Anne Blackhurst is 1982198958 and holds a License No. DN1858465 (Massachusetts).

The current practice location address for Victoria Anne Blackhurst is 1 Kneeland St, Boston, MA and can be reached out via phone at 302-507-3784.

Location: 1 Kneeland St, Boston, MA, 02118-3680
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982198958
Provider Name
Victoria Anne Blackhurst
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1 Kneeland St, Boston, MA, 02118-3680
Phone Number
302-507-3784
Fax Number
Provider Enumeration Date
06/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Kneeland St
City
Boston
State
Massachusetts
Zip
02111-1527
Phone Number
302-507-3784
Fax Number
person
Provider Business Mailing Address Details
Address
1 Kneeland St
City
Boston
State
Massachusetts
Zip
02111-1527
Phone Number
302-507-3784
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN1858465 (Massachusetts)
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
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
()
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DN1858465 (Massachusetts)
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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