Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL SHANAHAN BLACKWOOD, DDS, MS
Active Sole ProprietorDR. MICHAEL SHANAHAN BLACKWOOD, DDS, MS is a Orthodontics healthcare provider located in POTOMAC, Maryland. NPI 1972735017 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · POTOMAC, MD
Registration Details
- NPI Number
- 1972735017
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 21, 2009 (16.938658274988 yrs)
- Last Updated
- Aug 21, 2009
- Licenses
-
0401007606 (VA)DEN5374 (DC)11187 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10000 FALLS RDSUITE 209POTOMAC, MD, 208544103Browse MD providers · Browse ZIP 20854
- Phone
- 3019831096
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
- Additional Specialty
- Orthodontics
Other Orthodontics Providers in POTOMAC, MD
| Name | Credential | NPI |
|---|---|---|
| DR. RODNEY FRANK GOLDEN | DDS | 1326128935 |
| DR. DONALD VINCENT LIANG | DDS | 1306913827 |
| DR. DEBRA HSU SHIN | DDS | 1740338979 |
| DR. MEHDY BAGHAEI-RAD | DMD | 1891845459 |
| DR. RICHARD C SHIN | DDS, MS | 1396886727 |
| DR. OMOSEDE OSAGIEDE | DMD | 1962863902 |
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.