Renee Michelle Blake in Garland - Dentist

Renee Michelle Blake - NPI 1730375569

Renee Michelle Blake is a Dentist in Garland, Texas. Renee Michelle Blake practices all healthcare services and medical treatments related to Dentist. The NPI Number for Renee Michelle Blake is 1730375569. The last update date is 2010-02-04.

Renee Michelle Blake's current location address is 4431 W Walnut St Ste A, Garland, Texas. You can contact this provider via phone number 9724851200. The mailing address for Renee Michelle Blake is 4431 W Walnut St Ste A, Garland, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Renee Michelle Blake
Address 4431 W Walnut St Ste A, Garland, Texas
Phone Number 9724851200
Fax Number
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1730375569
Provider Enumeration Date 2007-09-14
Last Updated Date 2010-02-04

Provider Mailing Address Detail

Address 4431 W Walnut St Ste A
City Garland
State Texas (TX)
Post Code 750424108
Phone Number 9724851200
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 23359
Definition:
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: denti

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FAQs about Renee Michelle Blake

What is the Renee Michelle Blake's 1730375569?

The Renee Michelle Blake's NPI (National Provider Identifier) Number is 1730375569. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Renee Michelle Blake located?

The Renee Michelle Blake is located at 4431 W Walnut St Ste A, Garland, TX 750424108.

What is Renee Michelle Blake's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Renee Michelle Blake is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1730375569 to Renee Michelle Blake?

The Centers for Medicare & Medicaid Services originally issued the 1730375569 to Renee Michelle Blake on 2007-09-14.

As of what date were the Renee Michelle Blake's details last updated?

The information pertaining to the Renee Michelle Blake, including its address, specialty, and other details, was most recently updated on 2010-02-04.

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