TYLER BLACKENBURG

Dentist - Periodontics

Active Individual
NPI: 1164658977

Practice Address

8640 E STATE ROAD 70 # D
Bradenton, FL 34202

Phone: (941) 756-3410

Specialties

Specialty Code Primary License
Dentist - Periodontics 1223P0300X Yes DN17591 (FL)

Frequently Asked Questions

NPI 1164658977 is the National Provider Identifier for TYLER BLACKENBURG, a Dentist - Periodontics provider located in Bradenton, FL. This NPI was enumerated on June 8, 2009.
TYLER BLACKENBURG practices at 8640 E STATE ROAD 70 # D, Bradenton, FL 34202.

Quick Facts

NPI
1164658977
Type
Individual
Enumerated
Jun 8, 2009
Last Updated
Jun 8, 2009

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