Blackburn Wc DMD
Blackburn Wc DMD is a Dentist in Los Alamitos, California. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 11
Practice location Address checks out
3532 Howard Ave Ste 200Los Alamitos, CA 90720-3699
Phone: (562) 596-7484
Fax: (562) 430-3754
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Specialties & licences
| Dentist (primary) | Taxonomy 122300000X |
|---|---|
| Dental Anesthesiology | Taxonomy 1223D0004X |
| Endodontics | Taxonomy 1223E0200X |
| General Practice Dentistry | Taxonomy 1223G0001X |
| Oral and Maxillofacial Pathology Dentistry | Taxonomy 1223P0106X |
| Periodontics | Taxonomy 1223P0300X |
| Prosthodontics | Taxonomy 1223P0700X |
| Oral and Maxillofacial Surgery (Dentist) | Taxonomy 1223S0112X |
| Oral and Maxillofacial Radiology Dentistry | Taxonomy 1223X0008X |
| Orthodontics and Dentofacial Orthopedics Dentistry | Taxonomy 1223X0400X |
| Orofacial Pain Dentistry | Taxonomy 1223X2210X |
Record details
| NPI number | 1982490397 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Blackburn — Owner/Dentist · (562) 596-7484 |
| NPI enumerated | April 15, 2025 |
| Last updated in NPPES | March 4, 2026 |
| Certification date | March 4, 2026 |
| Mailing address | 3532 Howard Ave Ste 200, Los Alamitos, CA 90720-3699 |
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