Individual
DR. NEIL BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
93 E MAIN ST, AMELIA, OH 45102-1948
(513) 753-7199
Mailing address
PO BOX 230, AMELIA, OH 45102-0230
(513) 753-7199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0015396
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0387442
—
OH
Enumeration date
08/25/2006
Last updated
07/08/2007
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