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Search › Arizona › Orthodontics and Dentofacial Orthopedics Dentistry

Shane Blacker, DDS

NPI 1184892473 · on the registry since 2008 · sole proprietor

Practice

Address
6200 S Mcclintock Dr Ste 11
Tempe, AZ 85283
Phone
(480) 839-6262
Fax
(480) 839-1029
Organisation at this address
Affinity Gyn Inc.
A Perfect Smile Llc
Sharonelle Simmons, M.D
Wrright Family Medicine
Tempe Family Dental Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
Orthodontics and Dentofacial Orthopedics Dentistry
1223X0400X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-02-20

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 Arizona