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Ty Blacker, DMD
NPI 1336813534 · Dentist · Fort Sill, OK
Ty Blacker, DMD is a Dentist provider in Fort Sill, OK (NPI 1336813534).
Provider details
- NPI number
- 1336813534
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN26345 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
605 Randolph Rd
Fort Sill, OK 73503-4535
Phone: (580) 442-5925
Fax: (580) 442-7147
Street-level locationGet directions
Mailing address
1208 Apple Creek Dr
Elgin, OK 73538-8840
Registry dates
- Enumerated
- 2021-08-03
- Last updated
- 2023-04-11
- Certified
- 2023-04-05
Frequently asked questions
- What is Ty Blacker's NPI number?
- Ty Blacker's National Provider Identifier (NPI) is 1336813534, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ty Blacker's specialty?
- Ty Blacker is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Ty Blacker located?
- Ty Blacker's practice location on file with NPPES is 605 Randolph Rd, Fort Sill, OK 73503-4535.
- What is Ty Blacker's phone number?
- The practice phone number listed in the NPPES registry for Ty Blacker is (580) 442-5925.
- Is Ty Blacker's NPI active?
- Yes — Ty Blacker's NPI (1336813534) is active in the NPPES registry as of the last update on 2023-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.