Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EVAN BLACKWELL, D.D.S.
ActiveDR. EVAN BLACKWELL, D.D.S. is a Periodontology healthcare provider located in PFLUGERVILLE, Texas. NPI 1588072987 is currently active in the NPPES registry. Verify at CMS.
Periodontology · PFLUGERVILLE, TX
Registration Details
- NPI Number
- 1588072987
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 29, 2014 (12.083140602803 yrs)
- Last Updated
- Jul 27, 2023
- Licenses
-
32883 (TX)D10343 (OR)32883 (TX)
Practice Information
- Address
-
2911 A W GRIMES BLVD STE 106PFLUGERVILLE, TX, 786605459Browse TX providers · Browse ZIP 78660
- Phone
- 5123372578
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Dentist
- Additional Specialty
- Periodontology
- Additional Specialty
- Student (Health Education/Training)
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.