1. Home
  2. Directory
  3. North Carolina
  4. Winston Salem
  5. Dentist
  6. NPI Profile

DR. JOHN WALTON BLACKMAN II DDS
NPI 1063637668
Dentist in Winston Salem, NC

Active since April 17, 2007
1409 PLAZA WEST ROAD, #H, WINSTON SALEM, NC 27103(336) 760-9258(336) 659-9258 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. John Walton Blackman Ii Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN WALTON BLACKMAN II DDS (NPI 1063637668) is an individual dentist in Winston Salem, North Carolina, licensed in North Carolina (3165) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1063637668
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JOHN WALTON BLACKMAN IICredential: DDS
Location Address1409 PLAZA WEST ROAD, #HWinston Salem, NC 27103
Mailing Address1409 Plaza West Road, Suite HWinston Salem, NC 27103 · (336) 760-9258 · Fax (336) 659-9258
Phone(336) 760-9258
Fax(336) 659-9258
Sole ProprietorNo
Enumeration DateApril 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063637668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NC · 3165
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1409 PLAZA WEST ROAD, Winston Salem, NC 27103
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENISE A PERROTTA DMD
Dentist (General Practice)
1409 PLAZA WEST ROAD, SUITE H
WINSTON-SALEM, NC 27103
Forsyth County (336) 760-9258

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Blackman's NPI number?

The NPI number for John Blackman is 1063637668. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is John Blackman located?

John Blackman practices at 1409 Plaza West Road #h, Winston Salem, NC 27103. The listed phone number is (336) 760-9258.

What is John Blackman's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for John Blackman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.