Terry D. Blackburne, Dds, Msd, INC

NPI #1326104464 in Norman, Oklahoma

Provider Information

NPI Number: 1326104464
Entity Type: Organization
Organization Name: Terry D. Blackburne, Dds, Msd, INC
Primary Specialty: Dentist - Periodontics
Enumeration Date: Dec 30, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 707 24TH AVE SW
Address 2: SUITE 202
City: Norman
State: Oklahoma
ZIP Code: 73069-3987
Phone: (405) 329-6106

Authorized Official

Name: DR. TERRY D. BLACKBURNE, DDS
Title: PRESIDENT
Phone: (405) 329-6106

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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