Organization
TERRY D. BLACKBURNE, DDS, MSD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY D. BLACKBURNE DDS (PRESIDENT)
(405) 329-6106
Entity
Organization
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
12/30/2006
Last updated
08/22/2020
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