Chad L Blackburn, DDS

NPI #1013571363 in New Orleans, Louisiana

Provider Information

NPI Number: 1013571363
Entity Type: Individual
Name: Chad L Blackburn, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 23, 2019
Last Updated: Apr 23, 2019

Practice Location

Address: 4232 SAINT CLAUDE AVE
City: New Orleans
State: Louisiana
ZIP Code: 70117-5339
Phone: (504) 947-2958

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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