DR. RILEY DAVIS BLACKHURST (NPI# 1497363402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497363402 |
| Entity Type | Individual |
| Full Name | DR. RILEY DAVIS BLACKHURST |
| Credential | DDS |
| Practice Address |
935 Sw Higgins Ave Missoula MT 59803-1460 |
| Mailing Address |
4620 Rattlesnake Dr Missoula MT 59802-3019 |
| Practice Telephone | 4067212686 |
| Mailing Telephone | 2086972794 |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DEN-DEN-LIC-1934 | MT | Dental Providers |
| Street Address |
935 SW HIGGINS AVE |
| City | MISSOULA |
| State | MT |
| Zip Code | 59803-1460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396887444 | John Spierling Dmd | Dentist | 935 Sw Higgins Ave, Suite 201, Missoula, MT 59803-1464 | 2007-02-13 |
| 1316294465 | Ralph John Spierling | Dentist | 935 Sw Higgins Ave, Suite 201, Missoula, MT 59803-1460 | 2012-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700383940 | Kelsey Hamilton | Massage Therapist | 6945 Linda Vista Blvd, Missoula, MT 59803 | 2018-04-12 |
| 1225381205 | Missoula Valley Medical | Durable Medical Equipment & Medical Supplies | 3295 Cathy Ct, Missoula, MT 59803 | 2012-10-16 |
| 1790054336 | Jeffrey Michael Engel | Chiropractor | 1001 Sw Higgins Ave Ste 102, Missoula, MT 59803 | 2011-12-28 |
| 1245483338 | Carl Sivage | Pharmacist | 6035 Miller Creek Road, Missoula, MT 59803 | 2008-11-03 |
| 1356542161 | Patricia A. Lincoln | Counselor | 157 Meadowlark Ct, Missoula, MT 59803 | 2007-05-30 |
| 1295949493 | Rich Danielson | Physical Therapist | 3031 S. Russell, Suite #5, Missoula, MT 59803 | 2007-05-09 |
| 1720208226 | Cole L Macpherson | Dentist | 901 Sw Higgins, Missoula, MT 59803 | 2007-04-26 |
| 1336274109 | Robert James Whalen | Dentist | 690 Sw Higgins, Suite G, Missoula, MT 59803 | 2007-02-22 |
| 1679628671 | Pamela Marie Clausen | Counselor | 1001 Sw Higgins Ave, Suite 206, Missoula, MT 59803 | 2007-01-23 |
| 1255496386 | Kathleen Schroeder Roth | Dentist | 725 Sw Higgins Ave, Missoula, MT 59803 | 2006-12-27 |
| Find all providers in zip 59803 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013375021 | Kevin A. Miltko Dds | Dentist | 1550 South Ave W, Missoula, MT 59801-7806 | 2016-02-04 |
| 1659627594 | Ronald F Rosser | Dentist | 690 Sw Higgins Ave Ste H, Missoula, MT 59803-1433 | 2012-07-30 |
| 1942483524 | Missoula Pediatric Dentistry PC | Dentist | 1300 South Reserve St, Suite B, Missoula, MT 59801 | 2007-12-06 |
| 1518097476 | David Roy Shelby | Dentist | 628 South Ave W, Missoula, MT 59801 | 2007-03-07 |
| 1174653372 | Full Care Dental Pllc | Dentist | 690 Sw Higgins Ave Ste E, Missoula, MT 59803-1433 | 2007-03-06 |
| 1881739688 | Stephen C Noyd | Dentist | 1901 S Higgins Ave, Missoula, MT 59801-6764 | 2007-02-20 |
| 1396887444 | John Spierling Dmd | Dentist | 935 Sw Higgins Ave, Suite 201, Missoula, MT 59803-1464 | 2007-02-13 |
| 1730233412 | George Martin Olsen | Dentist | 237 Sw Higgins Ave, Ste C, Missoula, MT 59803-1403 | 2007-01-22 |
| 1437202777 | Robert Michael Delaney | Dentist | 1121 S Higgins Ave, Missoula, MT 59801-4142 | 2007-01-19 |
| 1275681439 | John Barr Snively | Dentist | 1227 S Higgins Ave, Missoula, MT 59801-4140 | 2007-01-06 |
| Find all providers in MISSOULA | ||||
Please comment or provide details below to improve the information on DR. RILEY DAVIS BLACKHURST.
| 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.