Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL LAWRENCE BLACKHURST, DDS
Active Sole ProprietorDR. MICHAEL LAWRENCE BLACKHURST, DDS is a General Dentistry healthcare provider located in PENNSVILLE, New Jersey. NPI 1205040896 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · PENNSVILLE, NJ
Registration Details
- NPI Number
- 1205040896
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 10, 2007 (19.245005905977 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
22DIO1828800 (NJ)G10001062 (DE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
160 S BROADWAYPENNSVILLE, NJ, 080702220Browse NJ providers · Browse ZIP 08070
- Phone
- 8566785124
- Fax
- 8566788637
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in PENNSVILLE, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. JERRY J POPECK | DMD PC | 1972655017 |
| DR. JOEL MARK RICHTERMAN | DDS | 1932321767 |
| DR. CHARLES ARTHUR EVANS | DMD LLC | 1114120805 |
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.