DR. PETER WILLIAM BLACKBURN DDS
NPI 1659438075
Dentist - General Practice in North Muskegon, MI

Active since January 03, 2007
1817 RUDDIMAN DR, NORTH MUSKEGON, MI 49445(231) 744-2458(231) 744-3423 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Peter William Blackburn Dds NPPES

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

DR. PETER WILLIAM BLACKBURN DDS (NPI 1659438075) is an individual general practice provider in North Muskegon, Michigan, licensed in Michigan (2901016769) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1659438075
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PETER WILLIAM BLACKBURNCredential: DDS
Location Address1817 RUDDIMAN DRNorth Muskegon, MI 49445-3145
Mailing Address1817 Ruddiman DrNorth Muskegon, MI 49445-3145 · (231) 744-2458 · Fax (231) 744-3423
Fax(231) 744-3423
Sole ProprietorYes
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1659438075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 2901016769
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1817 RUDDIMAN DR, North Muskegon, MI 49445

Accepted Insurance

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 Peter Blackburn's NPI number?

The NPI number for Peter Blackburn is 1659438075. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Peter Blackburn located?

Peter Blackburn practices at 1817 Ruddiman Dr, North Muskegon, MI 49445. The listed phone number is (231) 744-2458.

What is Peter Blackburn's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Peter Blackburn accept?

Health plans from Delta Dental of Michigan list Peter Blackburn 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 Peter Blackburn was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.