DR. MARC BLACKBURN D.D.S.
NPI 1205248705
Dentist in Pensacola, FL

Q: What is Marc Blackburn's NPI number?

The NPI number for Marc Blackburn is 1205248705. It was assigned to this individual provider in the NPPES registry on June 2, 2014.

Q: What is Marc Blackburn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marc Blackburn was last updated on June 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 02, 2014PECOS Enrolled

8630 UNIVERSITY PKWY, PENSACOLA, FL 32514(850) 476-4815 Get Directions Write a Review

NPPES record last updated: June 2, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Marc Blackburn D.d.s. NPPES

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

DR. MARC BLACKBURN D.D.S. (NPI 1205248705) is an individual dentist in Pensacola, Florida, licensed in Florida (DN20587) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205248705

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. MARC BLACKBURNCredential: D.D.S.

Location Address8630 UNIVERSITY PKWYPensacola, FL 32514-4907

Mailing Address8630 University PkwyPensacola, FL 32514-4907 · (850) 476-4815

Phone(850) 476-4815

Sole ProprietorNo

Enumeration DateJune 2, 2014

✔ NPI 1205248705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · DN20587

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.

8630 UNIVERSITY PKWY, Pensacola, FL 32514

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marc Blackburn D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32514 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. MICHAEL C PARKER D.M.D.

Dentist (General Practice)

8630 UNIVERSITY PKWY
PENSACOLA, FL 32514

Escambia County (850) 476-4815

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 Marc Blackburn's NPI number?

The NPI number for Marc Blackburn is 1205248705. It was assigned to this individual provider in the NPPES registry on June 2, 2014.

Where is Marc Blackburn located?

Marc Blackburn practices at 8630 University Pkwy, Pensacola, FL 32514. The listed phone number is (850) 476-4815.

What is Marc Blackburn's specialty?

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

Is Marc Blackburn enrolled in Medicare?

Yes. Marc Blackburn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marc Blackburn was last updated on June 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.