# KAITLIN E. BLACKBURN DDS, PA

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

## Provider details

- **NPI number:** 1831631563
- **Authorized official:** DR. KAITLIN ELIZABETH BLACKBURN DDS (DENTIST)
- **Authorized official phone:** (812) 306-4451

## Contact information

- **Practice address:** 466 E NINE MILE RD, PENSACOLA, FL 32514-1441
- **Practice address phone:** (850) 476-2552
- **Mailing address:** 466 E NINE MILE RD, PENSACOLA, FL 32514-1441
- **Mailing address phone:** (850) 476-2552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DN21161 | FL | Yes |

## Other

- **Enumeration date:** 11/11/2016
- **Last updated:** 11/11/2016