NPI 1003963174

Marta Blackhurst, DDS

Practitioner General Practice Dentistry Wilmington, DE

Practice location

Address: 3522 Silverside Rd The Commons #29, Wilmington, DE 19810-4911
Phone: (302) 478-1504
Fax: (302) 478-8799

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence G10001061 (DE)

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Registry record

NPI: 1003963174
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.