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Blackhurst Periodontics, P.A.

Dentist, Periodontics in Wilmington, DE. Organization (NPI-2).

NPI number1104751007
StatusActive
Last updated in NPPESSep 7, 2026

Details

NPI
1104751007
Entity type
Organization (NPI-2)
Legal business name
Blackhurst Periodontics, P.A.
Organization subpart
No
Enumeration date
Jun 15, 2026
Certification date
Sep 7, 2026
Last updated
Sep 7, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, Periodontics––Yes

Practice location

2710 Centerville Rd Ste 205
Wilmington, DE 19808-1664

Phone 302-507-3784

Mailing address

2710 Centerville Rd Ste 205
Wilmington, DE 19808-1664

Phone 302-707-6757

Authorized official

Victoria Blackhurst
Owner, Periodontist
3027076757

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