Provider Demographics
NPI:1891597266
Name:BLACKSTONE, MARGAUX HEID (RDH)
Entity type:Individual
Prefix:
First Name:MARGAUX
Middle Name:HEID
Last Name:BLACKSTONE
Suffix:
Gender:
Credentials:RDH
Other - Prefix:
Other - First Name:MARGAUX
Other - Middle Name:HEID
Other - Last Name:STEVENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:4 PINE ST
Mailing Address - Street 2:
Mailing Address - City:NEWMARKET
Mailing Address - State:NH
Mailing Address - Zip Code:03857-1504
Mailing Address - Country:US
Mailing Address - Phone:740-352-1958
Mailing Address - Fax:
Practice Address - Street 1:51 WEBB PL STE 200
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-2454
Practice Address - Country:US
Practice Address - Phone:603-742-3321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03810124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist