Individual
DR. DAVID PAUL BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MSD
Contact information
Practice address
3131 S STATE ROUTE 291 STE A, INDEPENDENCE, MO 64057-2657
(816) 373-6006
(816) 373-1840
Mailing address
3131 S. STATE ROUTE 291, SUITE A, INDEPENDENCE, MO 64057
(816) 373-6006
(816) 373-1840
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2015012810
MO
Other
Enumeration date
09/10/2007
Last updated
02/19/2025
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