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Search › Arizona › 175F00000X

Ken Blackman, NMD

NPI 1306063946 · on the registry since 2007 · sole proprietor

Practice

Address
3953 E Paradise Falls Dr
Suite 110
Tucson, AZ 85712
Phone
(520) 323-0401
Fax
(520) 319-9792
Organisation at this address
Great Grins Children'S Dentistry, P.L.L.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
175F00000X
175F00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-07

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