National Provider Identifier
Olivia Blackmore
Olivia Blackmore is listed in the NPPES registry with a primary specialty of Dental Hygienist in Lyons, NY and a listed phone number of (315) 871-3178.
Profile Overview
- NPI
- 1700285434
- Provider Type
- Individual
- Primary Specialty
- Dental Hygienist
- Enumeration Date
- August 19, 2014
- Last Updated
- August 20, 2014
Practice Location
- 1519 Nye RD
- Lyons, NY 14489-9133
Phone: (315) 871-3178
Mailing Address
- 41 North St
- Madrid, NY 13660-3128
Specialties
- Dental Hygienist (124Q00000X)
Full Record
- NPI
- 1700285434
- Entity Type
- Individual
- Last Name
- Blackmore
- First Name
- Olivia
- Mailing Street Address
- 41 North St
- Mailing City
- Madrid
- Mailing State
- NY
- Mailing ZIP Code
- 13660-3128
- Mailing Country
- US
- Practice Street Address
- 1519 Nye RD
- Practice City
- Lyons
- Practice State
- NY
- Practice ZIP Code
- 14489-9133
- Practice Country
- US
- Practice Phone
- (315) 871-3178
- Enumeration Date
- August 19, 2014
- Last Updated
- August 20, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dental Hygienist (124Q00000X)