J Blake, Dmd, Ps in Spokane Valley - General Practice

J Blake, Dmd, Ps - NPI 1255531018

J Blake, Dmd, Ps is a General Practice in Spokane Valley, Washington. J Blake, Dmd, Ps practices all healthcare services and medical treatments related to General Practice. The NPI Number for J Blake, Dmd, Ps is 1255531018. The last update date is 2009-03-31.

J Blake, Dmd, Ps's current location address is 12615 E Mission Ave, Spokane Valley, Washington. You can contact this provider via phone number 5099261234 and fax number 5099261701. The mailing address for J Blake, Dmd, Ps is 12615 E Mission Ave, Spokane Valley, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization J Blake, Dmd, Ps
Address 12615 E Mission Ave, Spokane Valley, Washington
Phone Number 5099261234
Fax Number 5099261701
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/DENT
Authorized Official Name Blake T. Joel
Credentials DMD
Telephone Number 5099261234

NPI Number Detail

NPI Number 1255531018
Provider Enumeration Date 2007-07-20
Last Updated Date 2009-03-31

Provider Mailing Address Detail

Address 12615 E Mission Ave
City Spokane Valley
State Washington (WA)
Post Code 992161047
Phone Number 5099261234
Fax Number 5099261701

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 10588
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 J Blake, Dmd, Ps

What is the unique 10-digit identifier code assigned to J Blake, Dmd, Ps by the Centers for Medicare & Medicaid Services?

The J Blake, Dmd, Ps has been issued the NPI (National Provider Identifier) 1255531018 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where J Blake, Dmd, Ps is located?

The J Blake, Dmd, Ps is situated at the following address: 12615 E Mission Ave, Spokane Valley, WA, 992161047.

What is J Blake, Dmd, Ps's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for J Blake, Dmd, Ps is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date did J Blake, Dmd, Ps receive its 1255531018 assignment from the Centers for Medicare & Medicaid Services?

The J Blake, Dmd, Ps was assigned its 1255531018 on 2007-07-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the J Blake, Dmd, Ps's details last updated?

The information pertaining to the J Blake, Dmd, Ps, including its address, specialty, and other details, was most recently updated on 2009-03-31.

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