Blackwell Dentistry

NPI #1295168748 in Blackwell, Oklahoma

Provider Information

NPI Number: 1295168748
Entity Type: Organization
Organization Name: Blackwell Dentistry
Primary Specialty: Dentist
Enumeration Date: Aug 19, 2013
Last Updated: Aug 19, 2013

Practice Location

Address: 1520 S MAIN ST
City: Blackwell
State: Oklahoma
ZIP Code: 74631-4941
Phone: (918) 960-4013

Authorized Official

Name: AARON MARTIN NEALE, DDS
Title: OWNER
Phone: (580) 363-0728

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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