Organization
BLACKWELL DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD R BLACKWELL DMD (DENTIST OWNER)
(480) 726-8464
Entity
Organization
Contact information
Practice address
600 S DOBSON RD STE C25, CHANDLER, AZ 85224-5690
(480) 726-8464
(480) 726-8465
Mailing address
600 S DOBSON RD STE C25, CHANDLER, AZ 85224-5690
(480) 726-8464
(480) 726-8465
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5291
AZ
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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