GEORGE M. BLACKBURN JR. D.M.D.
NPI 1083995500
Dentist in Austin, TX

Active since August 30, 2011
12505 HYMEADOW DR, STE. 2 D, AUSTIN, TX 78750(512) 258-3627 Get Directions Write a Review

NPPES record last updated: August 30, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About George M. Blackburn Jr. D.m.d. NPPES

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

GEORGE M. BLACKBURN JR. D.M.D. (NPI 1083995500) is a healthcare organization registered as a dentist in Austin, Texas and active in the NPI registry since August 2011. The organization lists George M. Blackburn, Owner, as its authorized official.

NPPES Registry Identity

NPI1083995500
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameGEORGE M. BLACKBURN JR. D.M.D.
Location Address12505 HYMEADOW DR, STE. 2 DAustin, TX 78750-1867
Mailing Address12505 Hymeadow Dr, Ste. 2 DAustin, TX 78750-1867 · (512) 258-3627
Organization SubpartNo
Authorized OfficialGeorge M. BlackburnOwner · (512) 258-3627
Enumeration DateAugust 30, 2011
NPI 1083995500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in TX · 10496
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.

12505 HYMEADOW DR, Austin, TX 78750

Other Identifiers 1

Other1003870601TX · Individual Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

Dentist
12505 HYMEADOW DR, SUITE 2D
AUSTIN, TX 78750
Internal Medicine
12505 HYMEADOW DR, BUILDING 2, SUITE B
AUSTIN, TX 78750
Dentist (General Practice)
12505 HYMEADOW DR, SUITE 2D
AUSTIN, TX 78750
Physical Therapist
12505 HYMEADOW DR
AUSTIN, TX 78750
Clinic/Center (Primary Care)
12505 HYMEADOW DR, SUITE 2-A
AUSTIN, TX 78750

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 George M. Blackburn Jr. D.M.D.'s NPI number?

The NPI number for George M. Blackburn Jr. D.M.D. is 1083995500. It was assigned to this organization in the NPPES registry on August 30, 2011.

Where is George M. Blackburn Jr. D.M.D. located?

George M. Blackburn Jr. D.M.D. is located at 12505 Hymeadow Dr Ste. 2 D, Austin, TX 78750. The listed phone number is (512) 258-3627.

What is George M. Blackburn Jr. D.M.D.'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 George M. Blackburn Jr. D.M.D. was last updated on August 30, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.