DR. William Sidney Blackmore, D.M.D.

NPI #1427480151 in Alpine, California

Provider Information

NPI Number: 1427480151
Entity Type: Individual
Name: DR. William Sidney Blackmore, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Credential: D.M.D.
Enumeration Date: Aug 5, 2013
Last Updated: Apr 21, 2025

Practice Location

Address: 23377 ILLAHEE DR
City: Alpine
State: California
ZIP Code: 91901-5413
Phone: (208) 251-3382

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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