# BLACKWELL DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295168748
- **Authorized official:** AARON MARTIN NEALE DDS (OWNER)
- **Authorized official phone:** (580) 363-0728

## Contact information

- **Practice address:** 1520 S MAIN ST, BLACKWELL, OK 74631-4941
- **Practice address phone:** (918) 960-4013
- **Mailing address:** 1520 S MAIN ST, BLACKWELL, OK 74631-4941
- **Mailing address phone:** (918) 960-4013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 08/19/2013
- **Last updated:** 08/19/2013