DR. TERRY D. BLACKBURNE (NPI# 1265619886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265619886 |
| Entity Type | Individual |
| Full Name | DR. TERRY D. BLACKBURNE |
| Credential | DDS, MSD |
| Practice Address |
707 24th Ave Sw Suite 202 Norman OK 73069-3987 |
| Practice Telephone | 4053296106 |
| Practice Fax Number | 4053296107 |
| Mailing Telephone | 4053296106 |
| Mailing Fax Number | 4053296107 |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2008-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
3554 | OK | Dental Providers |
| Street Address |
707 24TH AVE SW SUITE 202 |
| City | NORMAN |
| State | OK |
| Zip Code | 73069-3987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932121118 | Wallace George Haskett | Dentist | 707 24th Ave Sw, Suite 201, Norman, OK 73069-3987 | 2006-07-24 |
| 1346781960 | Gary S. Lawhon, D.d.s. | Dentist | 707 24th Ave Sw, Suite 102, Norman, OK 73069-3987 | 2017-03-15 |
| 1629488770 | Stacia M. Dowell Dds, Pllc | Health Maintenance Organization | 707 24th Ave Sw, Norman, OK 73069-3987 | 2014-04-29 |
| 1467899401 | Stacia Marie Dowell | Dentist | 707 24th Ave Sw, Norman, OK 73069-3987 | 2013-05-31 |
| 1710141676 | Spencer P Hinckley | Dentist | 707 24th Ave Sw, Suite 100, Norman, OK 73069-3987 | 2008-07-10 |
| 1356501928 | Norman Periodontics & Dental Implants, PC | Dentist | 707 24th Ave Sw, Suite 202, Norman, OK 73069-3987 | 2008-06-16 |
| 1124285903 | William J. Skaggs, D.d.s.,p.c. | Dentist | 707 24th Ave Sw, Suite 200, Norman, OK 73069-3987 | 2008-05-20 |
| 1295900934 | Wallace G Haskett Dds PC | Dentist | 707 24th Ave Sw, Norman, OK 73069 | 2008-04-24 |
| 1699965194 | Endodontic Practice Associates, Pllc | Dentist | 707 24th Ave Sw, Suite 100, Norman, OK 73069-3987 | 2007-07-31 |
| 1427106814 | William Joseph Skaggs | Dentist | 707 24th Ave Sw, Suite 200, Norman, OK 73069-3987 | 2007-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1841828290 | Cheryl Renee Stoepker | Nurse Practitioner | 3441 24th Ave Nw, Norman, OK 73069 | 2020-03-31 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
| 1528539376 | Monika Potdar | Pharmacist | 2550 Mount Williams Dr, Norman, OK 73069 | 2018-12-05 |
| 1861962193 | Bethany Spring Browne | Physician Assistant | 209 Hal Muldrow Dr, Apt 7, Norman, OK 73069 | 2018-11-29 |
| 1528536109 | Summit Health and Wellness Center LLC | Counselor | 2770 Washington Dr, Suite 100, Norman, OK 73069 | 2018-11-13 |
| 1386121960 | Sarah Lawhead | Case Manager/Care Coordinator | 525 Dakota St, Norman, OK 73069 | 2018-07-25 |
| 1528554433 | Katie Blankenship | Occupational Therapist | 330 W Grey Street 100-2, Norman, OK 73069 | 2018-07-03 |
| 1568918886 | Brandi Deerinwater | Case Manager/Care Coordinator | 321 S Peters, Norman, OK 73069 | 2016-08-28 |
| Find all providers in zip 73069 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952766206 | Norman Perio Pllc | Dentist | 521 Merchant Dr, Norman, OK 73069-6575 | 2015-12-30 |
| 1316312374 | Joseph Feng, D.d.s., P.C. | Dentist | 521 Merchant Dr, Norman, OK 73069-6575 | 2015-12-02 |
| 1356501928 | Norman Periodontics & Dental Implants, PC | Dentist | 707 24th Ave Sw, Suite 202, Norman, OK 73069-3987 | 2008-06-16 |
| 1326104464 | Terry D. Blackburne, Dds, Msd, Inc | Dentist | 707 24th Ave Sw, Suite 202, Norman, OK 73069-3987 | 2006-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021343 | Xixi Wu | Dentist | 1201 N Stonewall Ave # 524d, Oklahoma City, OK 73117-1214 | 2020-07-23 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1851713747 | Maria Fernanda Santos Peres | Dentist | 1201 N Stonewall Ave Rm 542, Oklahoma City, OK 73117-1214 | 2014-01-10 |
| 1609142827 | Board of Regents of Ok - Col of Dentistry Grad Perodontics | Dentist | 1201 N Stonewall Ave Rm Dcs253, Oklahoma City, OK 73117-1214 | 2012-04-02 |
| 1669614137 | Ryan James Lanman | Dentist | 3621 Nw 63rd St Ste I, Oklahoma City, OK 73116-2041 | 2009-03-30 |
| 1225252919 | Eric Jankowski | Dentist | 504 Forest Ridge Dr, Tahlequah, OK 74464-4191 | 2007-04-12 |
| 1770627044 | Robin D Henderson | Dentist | 9112 N. May Ave, Okla. City, OK 73120 | 2007-02-19 |
| 1487711081 | Glen Conrad Hornbuckle | Dentist | 8203 S Walker Ave, Okla City, OK 73139-9451 | 2007-01-02 |
| 1538235775 | Ray Anand Beddoe | Dentist | 2619 S Elm Pl, Suite A, Broken Arrow, OK 74012-7878 | 2006-11-28 |
| 1144232455 | Edwin E Sutherland II | Dentist | 1605 S Sangre Rd, Stillwater, OK 74074-1847 | 2006-08-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.