Terry D. Blackburne, DDS, MSD, Inc

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

3554 Issued in OK

Legal business name

TERRY D. BLACKBURNE, DDS, MSD, INC

Practice address

707 24TH Ave SW
Suite 202
Norman, OK 73069-3987

Phone

(405) 329-6106

Fax

(405) 329-6107

NPI assigned

Dec 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Terry D. Blackburne, DDSNPI 1265619886

Title

President

Phone

(405) 329-6106

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Terry D. Blackburne, DDS, MSD

  • Periodontics
  • Norman, OK
  • NPI 1265619886
  NPD (past) Authorized official
• Scott Renfrow, DDS,MS

  • Periodontics
  • Norman, OK
  • NPI 1376645440
  NPD (past)

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326104464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 24TH AVE SW",
            "address_2": "SUITE 202",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730693987",
            "telephone_number": "405-329-6106",
            "fax_number": "405-329-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 24TH AVE SW",
            "address_2": "SUITE 202",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730693987",
            "telephone_number": "405-329-6106",
            "fax_number": "405-329-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY D. BLACKBURNE, DDS, MSD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACKBURNE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-329-6106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "OK",
            "license": "3554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Lawrance Tennison, LCSW
• Taylor Alexis Carmen Terrell, DDS
• Tiffany Brooke Terrell
• Terri Stonehocker, MD, PLLC
• Terry Copeland, M.D., PLLC
• Terry Gile DO PC
• Terry S Abercrombie Crna PC
• Allison Bell Terry
• Carol A. Terry, PH.D.
• Jordan Dale Terry, CNP

• Periodontics in Norman, OK
• Providers in Norman, OK by specialty
• Periodontics in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.