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TYLER BLACKENBURG
NPI 1164658977
Dentist - Periodontics in Bradenton, FL

Active since June 08, 2009
8640 E STATE ROAD 70 # D, BRADENTON, FL 34202(941) 756-3410 Get Directions Write a Review

NPPES record last updated: June 8, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyler Blackenburg NPPES

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

TYLER BLACKENBURG (NPI 1164658977) is an individual periodontics provider in Bradenton, Florida, licensed in Florida (DN17591) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1164658977
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameTYLER BLACKENBURG
Location Address8640 E STATE ROAD 70 # DBradenton, FL 34202-3785
Mailing Address8640 E State Road 70 # DBradenton, FL 34202-3785
Phone(941) 756-3410
Sole ProprietorNo
Enumeration DateJune 8, 2009
✔ NPI 1164658977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in FL · DN17591
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.
8640 E STATE ROAD 70 # D, Bradenton, FL 34202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

MEREDITH GALLOWAY
Dentist
8640 E STATE ROAD 70 # D
BRADENTON, FL 34202
Manatee County (941) 756-3410
DENTAL HEALTH SERVICES BRADENTON PA
Dentist
8640 E STATE ROAD 70 # D
BRADENTON, FL 34202
Manatee County (941) 756-3410

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 Tyler Blackenburg's NPI number?

The NPI number for Tyler Blackenburg is 1164658977. It was assigned to this individual provider in the NPPES registry on June 8, 2009.

Where is Tyler Blackenburg located?

Tyler Blackenburg practices at 8640 E State Road 70 # D, Bradenton, FL 34202. The listed phone number is (941) 756-3410.

What is Tyler Blackenburg's specialty?

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

What insurance does Tyler Blackenburg accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Guardian and 1 other insurer list Tyler Blackenburg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyler Blackenburg was last updated on June 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.