1326104464 NPI number — TERRY D. BLACKBURNE, DDS, MSD, INC

Table of content: (NPI 1326104464)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326104464 NPI number — TERRY D. BLACKBURNE, DDS, MSD, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TERRY D. BLACKBURNE, DDS, MSD, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326104464
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
707 24TH AVE SW
Provider Second Line Business Mailing Address:
SUITE 202
Provider Business Mailing Address City Name:
NORMAN
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73069-3987
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-329-6106
Provider Business Mailing Address Fax Number:
405-329-6107

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
707 24TH AVE SW
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
NORMAN
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73069-3987
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-329-6106
Provider Business Practice Location Address Fax Number:
405-329-6107
Provider Enumeration Date:
12/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BLACKBURNE
Authorized Official First Name:
TERRY
Authorized Official Middle Name:
D.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
405-329-6106

Provider Taxonomy Codes

  • Taxonomy code: 1223P0300X , with the licence number:  3554 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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