Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336813534 Individual Practitioner Male Practitioner

Dr. Ty Blacker , DMD

Dentist • Fort Sill, OK

Professional Overview & Biography Verified Profile Summary

Dr. Ty Blacker, DMD is a registered healthcare professional specializing in Dentist in Fort Sill, OK. Practice services are available at 605 RANDOLPH RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

605 Randolph Rd

Fort Sill, OK 735034535

Telephone 5804425925
Fax 5804427147

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fort Sill, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
33 Specialists

Practicing in Fort Sill, OK (1115 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-04-05
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN26345

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
An Nguyen

Clinic/Center - Dental

NPI 1013716976
Dr. Samuel Davis , DDS

Dentist - General Practice

NPI 1073592697

Doctor of Dental Surgery

Dr. Meggin Passey , DDS

Dentist - General Practice

NPI 1093261695

Doctor of Dental Surgery

Jose Viteri , RDH

Dental Hygienist

NPI 1114994043

Registered Dental Hygienist

NPI 1275363061

Doctor of Dental Surgery

Meyon Walker

Dental Hygienist

NPI 1275486557

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address April 05, 2023

Registered at 1208 APPLE CREEK DR, ELGIN, OK 735388840

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2023

Dentist (License #DN26345 in FL)

📍
Updated Practice Location November 02, 2022

Registered at 605 RANDOLPH RD, FORT SILL, OK 735034535 (Tel: 5804425925)

NPI Profile Active August 03, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 03, 2021

Registered at 7101 HOFF ST, FORT BENNING, GA 319055645 (Tel: 7065442051)

📍
Updated Business Mailing Address August 03, 2021

Registered at 6500 WHITTLESEY BLVD APT 312, COLUMBUS, GA 319097268 (Tel: 2144022512)

👤
Provider Name / Credentials Updated August 03, 2021

Recorded as TY BLACKER, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2021

Dentist (License #DN26345 in FL)

🟢
Initial NPI Registration & Enumeration August 03, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336813534
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2021
Last Update: April 11, 2023
Sole Proprietor: Yes

Mailing Address

1208 Apple Creek Dr

Elgin, OK 735388840

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.