1. Home
  2. Directory
  3. Delaware
  4. Wilmington
  5. Dentist
  6. NPI Profile

BLACKHURST PERIODONTICS, P.A.
NPI 1104751007
Dentist - Periodontics in Wilmington, DE

Active since June 15, 2026
2710 CENTERVILLE RD STE 205, WILMINGTON, DE 19808(302) 507-3784 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blackhurst Periodontics, P.a. NPPES

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

BLACKHURST PERIODONTICS, P.A. (NPI 1104751007) is a healthcare organization registered as a periodontics in Wilmington, Delaware and active in the NPI registry since June 2026. The organization lists Victoria Blackhurst, Owner, Periodontist, as its authorized official.

NPPES Registry Identity

NPI1104751007
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameBLACKHURST PERIODONTICS, P.A.
Location Address2710 CENTERVILLE RD STE 205Wilmington, DE 19808-1664
Mailing Address7 Haslet WayWilmington, DE 19807-3119 · (302) 507-3784
Phone(302) 507-3784
Organization SubpartNo
Authorized OfficialVictoria BlackhurstOwner, Periodontist · (302) 507-3784
Enumeration DateJune 15, 2026
NPPES CertifiedJune 14, 2026
✔ NPI 1104751007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

2710 CENTERVILLE RD STE 205, Wilmington, DE 19808
Open in Google Maps ↗

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

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 Blackhurst Periodontics, P.A.'s NPI number?

The NPI number for Blackhurst Periodontics, P.A. is 1104751007. It was assigned to this organization in the NPPES registry on June 15, 2026.

Where is Blackhurst Periodontics, P.A. located?

Blackhurst Periodontics, P.A. is located at 2710 Centerville Rd Ste 205, Wilmington, DE 19808. The listed phone number is (302) 507-3784.

What is Blackhurst Periodontics, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Blackhurst Periodontics, P.A. was last updated on June 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.