Blackwell Dental Pllc
NPI #1720585680 in Woodbury, Connecticut
Provider Information
- NPI Number
- 1720585680
- Entity Type
- Organization
- Organization Name
- Blackwell Dental Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 9, 2018
- Last Updated
- Dec 3, 2020
Practice Location
- Address
- 387 MAIN ST S
- City
- Woodbury
- State
- Connecticut
- ZIP Code
- 06798-3412
- Phone
- (757) 581-9965
Authorized Official
- Name
- DR. ANDREW NICHOLAS BLACKWELL, DMD
- Title
- OWNER/MANAGER/GENERAL DENTIST
- Phone
- (757) 581-9965
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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