Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. D'Angelo Garrett Blackhorse, DMD

Individual provider General Practice Dentistry · NPI 1538899935

Dr. D'Angelo Garrett Blackhorse, DMD is a Dentist in Phoenix, Arizona. Graduated from Midwestern University College of Dental Medicine, Glendale in 2021, 5 years ago. Licensed in Arizona.

Years since qualifying
5
Trained at
Midwestern University College of Dental Medicine, Glendale
Licensed in
AZ
In the registry since
2022
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

4212 N 16th St
Phoenix, AZ 85016-5319
Phone: (602) 263-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D012355 (AZ)

Record details

NPI number1538899935
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 16, 2022
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolMIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE, GLENDALE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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