IndividualActive
David Blackburn, DMD, MSD
NPI 1942495320 · Orthodontics and Dentofacial Orthopedics Dentistry · Independence, MO
Provider details
- NPI number
- 1942495320
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DMD, MSD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2015012810 (MO)
Specialties & taxonomies
Dental Providers
Practice location
3131 S State Route 291 Ste a
Independence, MO 64057-2657
Phone: (816) 373-6006
Fax: (816) 373-1840
Approximate (ZIP-level) locationGet directions
Mailing address
3131 S. State Route 291
Independence, MO 64057
Registry dates
- Enumerated
- 2007-09-10
- Last updated
- 2025-02-19
- Certified
- 2025-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.