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

Q: 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.

Q: What is George M. Blackburn Jr. D.M.D.'s specialty?

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

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: August 16, 2026.

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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

Phone(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

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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.

DR. GEORGE MAURY BLACKBURN D.M.D., F.A.G.D.

Dentist

12505 HYMEADOW DR, SUITE 2D
AUSTIN, TX 78750

Travis County (512) 258-3627

B LYNNE GRAY MD PLLC

Clinic/Center (Primary Care)

12505 HYMEADOW DR, SUITE 2-A
AUSTIN, TX 78750

Travis County (512) 219-8991

MICHAEL R. AUGUSTINE JR. DDS

Dentist (General Practice)

12505 HYMEADOW DR, SUITE 2D
AUSTIN, TX 78750

Travis County (512) 258-3627

CHEN ZHOU MD PA

Internal Medicine

12505 HYMEADOW DR, BUILDING 2, SUITE B
AUSTIN, TX 78750

Travis County (512) 258-8300

CINDY VILLASANA PT, DPT

Physical Therapist

12505 HYMEADOW DR
AUSTIN, TX 78750

Travis County (512) 238-0762

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.