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

Shane Kyle Blacker, DDS

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1184892473

Shane Kyle Blacker, DDS is an Orthodontics and Dentofacial Orthopedics Dentistry in Tempe, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2008
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

6200 S McClintock Dr Ste 11
Tempe, AZ 85283-3268
Phone: (480) 839-6262
Fax: (480) 839-1029
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 6210 (AZ)

Record details

NPI number1184892473
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedFebruary 20, 2008
Last updated in NPPESFebruary 20, 2008
Mailing address6200 S McClintock Dr Ste 11, Tempe, AZ 85283-3268

Other providers in Tempe