Donald R. Blackstone, D.M.D., PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3027 Issued in ME

Legal business name

DONALD R. BLACKSTONE, D.M.D., PA

Practice address

379 Centerline Rd
Presque Isle, ME 04769-5227

Phone

(207) 762-7881

NPI assigned

Jul 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gregory Mark Blackstone, D.D.S.NPI 1639229495

Title

Orthodontist

Phone

(207) 762-7881

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory M Blackstone, D.D.S

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Presque Isle, ME
  • NPI 1639229495
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1245439652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 CENTERLINE RD",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047695227",
            "telephone_number": "207-762-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 CENTERLINE RD",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047695227",
            "telephone_number": "207-762-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD R. BLACKSTONE, D.M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "BLACKSTONE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "207-762-7881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "ME",
            "license": "3027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila R Dickerman, PA
• Meghan Leigh Dinneen, FNP-C
• Discovery House WC, Inc.
• Crystal M Doherty
• Josee Doiron Tardif, RD, LD
• Gary W Doody, R.PH.
• Samantha Doughty, CADC, MHRT-CSP
• Garth M Duff, DMD
• Melissa A. Dumais, F.N.P.
• Sherri Dumont, D.O.

• Orthodontics and Dentofacial Orthopedics Dentistry in Presque Isle, ME
• Providers in Presque Isle, ME by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.