J Blake, Dmd, Ps in Spokane Valley - Pediatric Dentistry
J Blake, Dmd, Ps - NPI 1255531018
J Blake, Dmd, Ps is a Pediatric Dentistry in Spokane Valley, Washington. J Blake, Dmd, Ps practices all healthcare services and medical treatments related to Pediatric Dentistry. 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 | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 9846 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Post Comment/ Review Below
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 Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
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.