Blackburn Wc Dmd
LBN: Blackburn Wc Dmd
Blackburn Wc Dmd is an health care organization with primary practice located at 3532 Howard Ave Ste 200 , Los Alamitos CA 90720-3699. The organization recently has 10 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dentist Anesthesiologist, Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Periodontics, Dental Providers / Prosthodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Radiology, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is the primary health care specialty.
Blackburn Wc Dmd can be contacted via phone (562) 596-7484, or through Blackburn, Richard via phone (562) 596-7484.
Contact Information
Primary practice address
3532 Howard Ave Ste 200
Los Alamitos CA 90720-3699
Phone: (562) 596-7484
Fax: (562) 430-3754
Website:
Authorized official contact:
Name: Blackburn, Richard Doctor of Dental Medicine (DMD)
Phone: (562) 596-7484
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | ||
| Dental Providers / Dentist Anesthesiologist | 1223D0004X | ||
| Dental Providers / Endodontics | 1223E0200X | ||
| Dental Providers / General Practice | 1223G0001X | ||
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | ||
| Dental Providers / Periodontics | 1223P0300X | ||
| Dental Providers / Prosthodontics | 1223P0700X | ||
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | ||
| Dental Providers / Oral and Maxillofacial Radiology | 1223X0008X | ||
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X |
Profile Details
| NPI number | 1982490397 |
|---|---|
| LBN Legal business name | Blackburn Wc Dmd |
| DBA Doing business as | |
| Authorized official | Blackburn, Richard Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 15th, 2025 |
| Last updated | Mar 4th, 2026 - about 7 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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