Maureen Mikho Blackburn, DDS

Dentist · Kalamazoo, MI

Individual Active NPI

NPI number 1902334006

Practice location

117 W Paterson St
Kalamazoo, MI 49007-2581
Phone
(269) 349-2641

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NPI record

NPI
1902334006
Entity type
Individual (Type 1)
Enumeration date
June 1, 2017
Last updated
May 23, 2024
Certified
May 23, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2901022231 MI

Mailing address

117 W Paterson St
Kalamazoo, MI 49007-2557
Phone
(269) 349-2641
Fax
(269) 201-2855

About Dr. Blackburn

Maureen Mikho Blackburn, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 117 W Paterson St, Kalamazoo, MI 49007-2581. The NPI number 1902334006 was assigned on June 1, 2017 and the record was last updated on May 23, 2024.

Dr. Blackburn lists a license in the registry: #2901022231 (MI) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Maureen Mikho Blackburn, DDS?

The NPI number is 1902334006.

What is the phone number of Dr. Blackburn?

The phone number listed for the practice location is (269) 349-2641.

Where is Dr. Blackburn located?

117 W Paterson St, Kalamazoo, MI 49007-2581.

What is the taxonomy code for Dr. Blackburn?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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