Individual
CALEB ANTHONY BLACKHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9900 LINCOLN STREET, 2ND FLOOR, TACOMA, WA 98431-0001
(253) 968-4079
Mailing address
9900 LINCOLN STREET, 2ND FLOOR, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14288324-9926
UT
Other
Enumeration date
07/24/2026
Last updated
07/24/2026
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