George Dale Blake in Runaway Bay - General Practice

George Dale Blake - NPI 1720081268

George Dale Blake is a General Practice in Runaway Bay, Texas. George Dale Blake practices all healthcare services and medical treatments related to General Practice. The NPI Number for George Dale Blake is 1720081268. The last update date is 2007-07-08.

George Dale Blake's current location address is 229 Half Moon Way, Runaway Bay, Texas. You can contact this provider via phone number 9405754185. The mailing address for George Dale Blake is 229 Half Moon Way, Runaway Bay, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name George Dale Blake
Address 229 Half Moon Way, Runaway Bay, Texas
Phone Number 9405754185
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1720081268
Provider Enumeration Date 2005-05-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 229 Half Moon Way
City Runaway Bay
State Texas (TX)
Post Code 7642697730
Phone Number 9405754185
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 8400
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about George Dale Blake

What is the unique identifier code issued to George Dale Blake by the Centers for Medicare & Medicaid Services?

The George Dale Blake has been assigned the NPI (National Provider Identifier) 1720081268. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of George Dale Blake?

The George Dale Blake is situated at 229 Half Moon Way, in the city of Runaway Bay, state of TX, with the zip code 7642697730.

What is the George Dale Blake's specialty and taxonomy code?

The George Dale Blake's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

When did the George Dale Blake receive its 1720081268?

The George Dale Blake was issued its 1720081268 on 2005-05-30, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to George Dale Blake, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to George Dale Blake, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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