Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE KYLE BLACKER, DDS
Active Sole ProprietorSHANE KYLE BLACKER, DDS is a Orthodontics healthcare provider located in TEMPE, Arizona. NPI 1184892473 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · TEMPE, AZ
Registration Details
- NPI Number
- 1184892473
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 20, 2008 (18.438702522513 yrs)
- Last Updated
- Feb 20, 2008
- License
-
6210 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6200 S MCCLINTOCK DR STE 11TEMPE, AZ, 852833268Browse AZ providers · Browse ZIP 85283
- Phone
- 4808396262
- Fax
- 4808391029
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in TEMPE, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. PAUL ANDERSON LINES | D.D.S. | 1013941459 |
| DR. BRADFORD LEE KESS | D.D.S. | 1700961299 |
| DR. LOUIS DAVID CURTIS | D.D.S.,M.S | 1689728719 |
| DR. ALAN ASHTON CURTIS | D.D.S., M.S. | 1326192469 |
| DR. WON-WOO PARK | D.M.D., M.S. | 1386846442 |
| DR. CHAD R FOSTER | — | 1831414671 |
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.