Blackburn, Richard
Blackburn, Richard is an individual health care provider with primary practice located at 3532 Howard Ave Ste 200 , Los Alamitos CA 90720-3699. He recently has 10 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Radiology, Dental Providers / Dentist Anesthesiologist, Dental Providers / Periodontics, Dental Providers / General Practice, Dental Providers / Endodontics, Dental Providers / Prosthodontics, Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is his primary health care specialty. Blackburn, Richard can be contacted via phone (562) 501-3188.Contact Information
Primary practice address
3532 Howard Ave Ste 200
Los Alamitos CA 90720-3699
Phone: (562) 501-3188
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Radiology | 1223X0008X | 104972 | California |
| Dental Providers / Dentist Anesthesiologist | 1223D0004X | 104972 | California |
| Dental Providers / Periodontics | 1223P0300X | 104972 | California |
| Dental Providers / General Practice | 1223G0001X | 104972 | California |
| Dental Providers / Endodontics | 1223E0200X | 104972 | California |
| Dental Providers / Prosthodontics | 1223P0700X | 104972 | California |
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 104972 | California |
| Dental Providers / Dentist | 122300000X | 104972 | California |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 104972 | California |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 104972 | California |
Profile Details
| NPI number | 1891215760 |
|---|---|
| LBN Legal business name | Blackburn, Richard |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2017 |
| Last updated | Mar 6th, 2026 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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