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Contact Information

JOHN W BLACKMAN II, DDS
1409 PLAZA WEST ROAD
#H
WINSTON-SALEM, NC27103
 Phone: 336-760-9258
 Fax: 336-659-9258
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JOHN W BLACKMAN II · (Male)

NPI Number 1063637668
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 04/17/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 3165
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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