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

Dr. Ty Blacker, DMD

Individual provider Dentist · NPI 1336813534

Dr. Ty Blacker, DMD is a Dentist in Fort Sill, Oklahoma. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021
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

605 Randolph Rd
Fort Sill, OK 73503-4535
Phone: (580) 442-5925
Fax: (580) 442-7147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN26345 (FL)

Record details

NPI number1336813534
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 3, 2021
Last updated in NPPESApril 11, 2023
Certification dateApril 5, 2023
Mailing address1208 Apple Creek Dr, Elgin, OK 73538-8840

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