Blackhurst Periodontics, P.A.
NPI 1104751007ActiveOrganization· Dentist, Periodontics· Wilmington, DE
Dentist, Periodontics in Wilmington, Delaware, registered in NPPES in June 2026. The authorized official on file is Victoria Blackhurst, D.D.S., Owner, Periodontist.
Overview
| NPI | 1104751007 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 15, 2026 |
| Last updated in NPPES | Sep 7, 2026 |
| Certified by provider | Sep 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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