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Organization
BLACKMAN FAMILY DENTISTRY
Active
Organization
BLACKMAN FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM MICHAEL BLACKMAN D.M.D. (OWNER/DENTIST)
(843) 537-4368
Entity
Organization
Contact information
Practice address
1220 CHESTERFIELD HWY, CHERAW, SC 29520-7014
(843) 537-4368
(843) 537-4368
Mailing address
1220 CHESTERFIELD HWY, CHERAW, SC 29520-7014
(843) 537-4368
(843) 537-4368
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2699
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZ2699
—
SC
Enumeration date
09/21/2007
Last updated
06/12/2012
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