Individual
DR. TERRY D. BLACKBURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
707 24TH AVE SW, SUITE 202, NORMAN, OK 73069-3987
(405) 329-6106
(405) 329-6107
Mailing address
707 24TH AVE SW, SUITE 202, NORMAN, OK 73069-3987
(405) 329-6106
(405) 329-6107
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3554
OK
Other
Enumeration date
01/25/2008
Last updated
01/25/2008
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