Thomas Joel Blake in Spokane Valley - General Practice

Thomas Joel Blake - NPI 1992862593

Thomas Joel Blake is a General Practice in Spokane Valley, Washington. Thomas Joel Blake practices all healthcare services and medical treatments related to General Practice. The NPI Number for Thomas Joel Blake is 1992862593. The last update date is 2012-08-30.

Thomas Joel Blake's current location address is 721 N Pines Rd, Spokane Valley, Washington. You can contact this provider via phone number 5099261234 and fax number 5099261701. The mailing address for Thomas Joel Blake is 721 N Pines Rd, Spokane Valley, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Joel Blake
Address 721 N Pines Rd, Spokane Valley, Washington
Phone Number 5099261234
Fax Number 5099261701
Sole Proprietor Y
Credentials D.D.S., M.

NPI Number Detail

NPI Number 1992862593
Provider Enumeration Date 2007-01-02
Last Updated Date 2012-08-30

Provider Mailing Address Detail

Address 721 N Pines Rd
City Spokane Valley
State Washington (WA)
Post Code 992065225
Phone Number 5099261234
Fax Number 5099261701

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DE00010588
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5051255 WA --

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FAQs about Thomas Joel Blake

What is the unique 10-digit identifier code issued to Thomas Joel Blake by the Centers for Medicare & Medicaid Services?

The Thomas Joel Blake has been assigned the NPI (National Provider Identifier) 1992862593 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Thomas Joel Blake?

The Thomas Joel Blake is physically situated at 721 N Pines Rd, in the city of Spokane Valley, state of WA, with the postal code 992065225.

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

The area of specialization for Thomas Joel Blake is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the Thomas Joel Blake receive the assignment of its 1992862593 from the Centers for Medicare & Medicaid Services?

The Thomas Joel Blake was issued its 1992862593 by the Centers for Medicare & Medicaid Services on 2007-01-02.

As of what date were the details related to Thomas Joel Blake most recently updated or revised?

The information pertaining to Thomas Joel Blake, including its address, specialty, and other relevant details, was last updated or revised on 2012-08-30.

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