Individual
DR. THOMAS MATTHEW BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
805 W GEORGIA RD, SIMPSONVILLE, SC 29680-6213
(864) 757-1500
Mailing address
805 W GEORGIA RD, SIMPSONVILLE, SC 29680-6213
(864) 757-1500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9604
SC
Other
Enumeration date
03/28/2019
Last updated
03/23/2022
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