SCOTT GIBSON BLACKMAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034625

License Status

ACTIVE

Business

Title

DDS

First Name

SCOTT

Middle

GIBSON

Last Name

BLACKMAN

Business Name

SCOTT GIBSON BLACKMAN DDS

Original Issue Date

09/11/2023

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

BRENTWOOD

State

Zip

37027

Ever Disciplined

LastModifiedDate

10/16/2024