Search › Florida › 1223P0300X
Tyler Blackenburg
NPI 1164658977 · on the registry since 2009
Practice
- Address
- 8640 E State Road 70 # D
Bradenton, FL 34202 - Phone
- (941) 756-3410
- Organisation at this address
- Dental Health Services Bradenton Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223P0300X
1223P0300X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-06-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida