Donald R. Blackstone, D.m.d., PA

NPI #1245439652 in Presque Isle, Maine

Provider Information

NPI Number
1245439652
Entity Type
Organization
Organization Name
Donald R. Blackstone, D.m.d., PA
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Jul 16, 2007
Last Updated
Jul 16, 2007

Practice Location

Address
379 CENTERLINE RD
State
Maine
ZIP Code
04769-5227
Phone
(207) 762-7881

Authorized Official

Name
DR. GREGORY MARK BLACKSTONE, D.D.S.
Title
ORTHODONTIST
Phone
(207) 762-7881

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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