Scott M. Blake, Dds, Pc in Idaho Falls - Oral And Maxillofacial Surgery
Scott M. Blake, Dds, Pc - NPI 1972779916
Scott M. Blake, Dds, Pc is a Oral And Maxillofacial Surgery in Idaho Falls, Idaho. Scott M. Blake, Dds, Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Scott M. Blake, Dds, Pc is 1972779916. The last update date is 2008-04-30.
Scott M. Blake, Dds, Pc's current location address is 333 S Woodruff Ave, Idaho Falls, Idaho. You can contact this provider via phone number 2085232160. The mailing address for Scott M. Blake, Dds, Pc is 333 S Woodruff Ave, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Scott M. Blake, Dds, Pc |
|---|---|
| Address | 333 S Woodruff Ave, Idaho Falls, Idaho |
| Phone Number | 2085232160 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | RECEPTIONI |
|---|---|
| Authorized Official Name | Schmidt Elaine |
| Telephone Number | 2085232160 |
NPI Number Detail
| NPI Number | 1972779916 |
|---|---|
| Provider Enumeration Date | 2008-04-30 |
| Last Updated Date | 2008-04-30 |
Provider Mailing Address Detail
| Address | 333 S Woodruff Ave |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834014322 |
| Phone Number | 2085232160 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | D3728 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1504752 | UNITED CONCORDIA | ||
| 806657300 | ID | -- | |
| 806720800 | ID | -- | |
| 118557800 | WY | -- | |
| 10143970 | REGENCE BLUESHIELD | ||
| 6I468 | FEDERAL BXBS | ||
| 6M014 | UPIN BLUE CROSS |
Post Comment/ Review Below
What is the Scott M. Blake, Dds, Pc's 1972779916?
The Scott M. Blake, Dds, Pc's NPI (National Provider Identifier) Number is 1972779916. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Scott M. Blake, Dds, Pc?
The Scott M. Blake, Dds, Pc is situated at 333 S Woodruff Ave, in the city of Idaho Falls, state of ID, with the zip code 834014322.
What is Scott M. Blake, Dds, Pc's area of expertise and its corresponding taxonomy classification?
The Scott M. Blake, Dds, Pc's field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1972779916 to Scott M. Blake, Dds, Pc?
The Scott M. Blake, Dds, Pc received its 1972779916 assignment from the Centers for Medicare & Medicaid Services on 2008-04-30.
When was the information regarding Scott M. Blake, Dds, Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Scott M. Blake, Dds, Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-30.
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