Individual
DR. ERIC BLACKWOOD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
501GARFIELD ST., QUINTER, KS 67752
(785) 754-2441
(785) 754-2466
Mailing address
7250 COUNTY ROAD AA, QUINTER, KS 67752-6119
(785) 754-2252
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60189
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1005597
DORAL
KS
01
—
116736
BLUE CROSS BLUE SHIELD
KS
Enumeration date
10/31/2005
Last updated
07/09/2007
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