Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYLER BLACKENBURG
ActiveTYLER BLACKENBURG is a Periodontology healthcare provider located in BRADENTON, Florida. NPI 1164658977 is currently active in the NPPES registry. Verify at CMS.
Periodontology · BRADENTON, FL
Registration Details
- NPI Number
- 1164658977
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2009 (17.222108475905 yrs)
- Last Updated
- Jun 8, 2009
- License
-
DN17591 (FL)
Practice Information
- Address
-
8640 E STATE ROAD 70 # DBRADENTON, FL, 342023785Browse FL providers · Browse ZIP 34202
- Phone
- 9417563410
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in BRADENTON, FL
| Name | Credential | NPI |
|---|---|---|
| LINDSAY BETHEL EASTMAN | DDS MS PA | 1487781811 |
| DR. THOMAS G RUBINO | DDS MS | 1790812089 |
| DR. DIANA BRONSTEIN | DDS | 1134328172 |
| MUYEENUL HASSAN | M.S.D. | 1366872467 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.