Russell Blackman, D.D.S

NPI 1700866910 · on the registry since 2006

Practice

Address: 16845 N 29th Ave
Suite 6
Phoenix, AZ 85053
Phone: (602) 866-0418
Fax: (602) 862-1194
Organisation at this address: Nexus Physiatry
Arizona Nicu Follow-Up Specialists
Valley Addiction & Mental Health Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-07-13

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