Thomas H Blackburn, DDS Valid NPI
Individual provider · Public Health Dentistry · Fredericksburg, VA
- NPI
- 1164582136
- Type
- Individual (Type 1)
- Primary specialty
- Public Health Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223D0001X
- License number
- 5280 (VA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-12-11
- Last updated
- 2007-07-08
Practice location
112 Falcon Drive
Fredericksburg, VA 22408
(540) 898-8805