Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RUSSELL D BLACKHURST, D.M.D.
ActiveDR. RUSSELL D BLACKHURST, D.M.D. is a General Dentistry healthcare provider located in MISSOULA, Montana. NPI 1801080015 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MISSOULA, MT
Registration Details
- NPI Number
- 1801080015
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2007 (18.919861016822 yrs)
- Last Updated
- Aug 11, 2011
- Licenses
-
9453 (CO)2306 (MT)
Practice Information
- Address
-
913 SW HIGGINS AVE201MISSOULA, MT, 598031461Browse MT providers · Browse ZIP 59803
- Phone
- 4067212686
- Fax
- 4067211213
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in MISSOULA, MT
| Name | Credential | NPI |
|---|---|---|
| DR. ANNE MARGARET BREUM | D.M.D. | 1750386074 |
| DR. ANDREW C ALTHAUSER | DDS | 1245278647 |
| DR. BRAD J WALL | DMD | 1619072444 |
| JASON E. HELMS | D.M.D. | 1841384849 |
| DR. KEVIN A MILTKO | DDS | 1184706574 |
| DR. MATTHEW L HEAPHY | DDS | 1063584829 |
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.