BLACKWELL DENTISTRY LLC – NPI #1164639100
Clinic/Center

BLACKWELL DENTISTRY LLC is an AHC clinic located in CHANDLER, AZ. NPPES has assigned the NPI number 1164639100 to BLACKWELL DENTISTRY LLC on May 17, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLACKWELL DENTISTRY LLC below.

NPI Profile for
BLACKWELL DENTISTRY LLC

NPI Number
1164639100
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLACKWELL DENTISTRY LLC
Primary location
600 S DOBSON RD STE C25
CHANDLER, AZ 85224-5690
Phone: (480) 726-8464 Fax: (480) 726-8465
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHAD BLACKWELL
DENTIST OWNER
Phone: (480) 726-8464
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 AZ 5291

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.