DR. SUSAN LYNN BLACKBURN (NPI# 1760502785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760502785 |
Entity Type | Individual |
Full Name | DR. SUSAN LYNN BLACKBURN |
Credential | D.D.S. |
Practice Address |
200 S Dixon Rd Kokomo IN 46901-5073 |
Mailing Address |
616 Secretariat Cir Kokomo IN 46901-3776 |
Practice Telephone | 7654563015 |
Practice Fax Number | 7654561825 |
Mailing Telephone | 7654520800 |
Enumeration Date | 2007-03-31 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
12007734A | IN | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073522553 | Susan Henry Blackburn | Social Worker | 40 Sarasota Center Blvd Ste 101, Sarasota, FL 34240-8758 | 2006-08-05 |
1487264586 | Susan Kang Blackburn | Registered Nurse | 2200 Tydd St, Eureka, CA 95501-1284 | 2020-08-04 |
1891262846 | Susan Lynn Blackburn | Behavior Technician | 7090 Miratech Dr, San Diego, CA 92121 | 2018-10-29 |
1649512484 | Susan Diane Blackburn | Social Worker | 125 E Southern Ave, Muskegon, MI 49442-5041 | 2013-03-19 |
1972724151 | Susan Blackburn | Counselor | 2347 Rossville Blvd, Chattanooga, TN 37408 | 2007-05-02 |
1427187293 | Susan Blackburn | Occupational Therapist | 303 N Main St, Ashland, MO 65010-8904 | 2007-03-05 |
Street Address |
200 S DIXON RD |
City | KOKOMO |
State | IN |
Zip Code | 46901-5073 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689775546 | Bruce A. Blackburn | Dentist | 200 S Dixon Rd, Kokomo, IN 46901-5073 | 2006-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922607597 | Momentum Kokomo, LLC | Substance Abuse Rehabilitation Facility | 1236 N. Wabash Ave, Kokomo, IN 46901 | 2020-10-23 |
1457826869 | Jodi Gayle Lake | Developmental Therapist | 2523 Lorentson Ct, Kokomo, IN 46901 | 2018-10-11 |
1871088369 | Hope Behavioral Servies, LLC | Behavioral Analyst | 924 Clark St, Kokomo, IN 46901 | 2018-06-27 |
1255782306 | Forefront Dermatology, S.c. | Dermatology | 2130 W Sycamore St Ste 200, Kokomo, IN 46901 | 2016-06-29 |
1164860706 | Renee Michelle Brown | Registered Nurse | 2776 Amberwood Place, Kokomo, IN 46901 | 2013-06-05 |
1063642916 | Michelle K Rush | Speech-Language Pathologist | 2532 Lauren Ln, Kokomo, IN 46901 | 2009-07-24 |
1396957189 | Lifetime Dental Care of In, PC | Dentist | 927 S Washington St, Kokomo, IN 46901 | 2007-05-04 |
1245458355 | Wagoner Medical Center, LLC | Internal Medicine | 2016 W Sycamore, Kokomo, IN 46901 | 2007-04-23 |
1053442723 | Jesusa Salhieh | Contractor | Genesis Rehab Bloom, Kokomo, IN 46901 | 2007-03-07 |
1740382928 | Donald A Fantuzzo Dds PC | Dentist | 2196 W Sycamore St, Kokomo, IN 46901 | 2006-09-01 |
Find all providers in zip 46901 |
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 |
---|---|---|---|---|
1689282196 | Eric Gerald Hollensbe | Dentist | 3415 S Lafountain St Ste I, Kokomo, IN 46902-3826 | 2020-07-21 |
1225514805 | Navneet Aulakh | Dentist | Lakewood Family Dental of Kokomo Pllc, 2302 S Dixon Rd Suite 125, Kokomo, IN 46902 | 2018-07-17 |
1801390992 | Fraiz Dental Group P.C. | Dentist | 604 E Boulevard Ste A, Kokomo, IN 46902-2286 | 2018-03-22 |
1326288705 | John Klooster | Dentist | 2918 S Reed Rd, Kokomo, IN 46902-3991 | 2009-02-25 |
1861668071 | William Robert Grider | Dentist | 4335 S County Rd, Kokomo, IN 46902 | 2008-05-07 |
1437336922 | Alberto Velasco | Dentist | 2124 E Boulevard, Kokomo, IN 46902-2401 | 2008-01-28 |
1336324375 | Walter C. Brown II | Dentist | 2714 Rockford Ln, Kokomo, IN 46902-3204 | 2008-01-09 |
1962619890 | Robert John Bour | Dentist | 3423 S Lafountain St, Kokomo, IN 46902-3856 | 2007-05-17 |
1114130432 | Dental Professionals of Indiana, P.C. | Dentist | 2362 W Blvd, Suite B, Kokomo, IN 46902 | 2007-05-07 |
1396957189 | Lifetime Dental Care of In, PC | Dentist | 927 S Washington St, Kokomo, IN 46901 | 2007-05-04 |
Find all providers in KOKOMO |
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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.