DR. RUSSELL BLACKHURST, D.M.D.
Dentist - General Practice
Active
Individual
NPI: 1801080015
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | 9453 (CO) |
| Dentist - General Practice | 1223G0001X | Yes | 2306 (MT) |
Frequently Asked Questions
NPI 1801080015 is the National Provider Identifier for DR. RUSSELL BLACKHURST, D.M.D., a Dentist - General Practice provider located in Missoula, MT. This NPI was enumerated on August 30, 2007.
DR. RUSSELL BLACKHURST, D.M.D. practices at 913 SW HIGGINS AVE, 201, Missoula, MT 59803.
Quick Facts
- NPI
- 1801080015
- Type
- Individual
- Enumerated
- Aug 30, 2007
- Last Updated
- Aug 11, 2011
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