Organization
NEIL BLACKBURN DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL BLACKBURN (OFFICE MANAGER)
(513) 753-7199
Entity
Organization
Contact information
Practice address
93 E MAIN ST, AMELIA, OH 45102-1948
(513) 753-7199
(513) 753-8843
Mailing address
93 E MAIN ST, AMELIA, OH 45102-1948
(513) 753-7199
(513) 753-8843
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30015396
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0387442
—
OH
Enumeration date
09/15/2015
Last updated
09/15/2015
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