Individual
MR. DAN STEVEN BLACKWELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13027 W. LINEBAUGH AVE, SUITE 101, TAMPA, FL 33626-4477
(813) 855-8877
(813) 855-3131
Mailing address
13027 W. LINEBAUGH AVE, SUITE 101, TAMPA, FL 33626-4477
(813) 855-8877
(813) 855-3131
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7540
FL
1223G0001X
General Practice Dentistry
FL7540
FL
Other
Enumeration date
08/21/2006
Last updated
04/10/2015
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