Search › Idaho › Oral and Maxillofacial Pathology Dentistry
Scott Blake, DDS
NPI 1376684175 · on the registry since 2007
Practice
- Address
- 333 S Woodruff Ave
Idaho Falls, ID 83401 - Phone
- (208) 523-2160
- Fax
- (208) 552-8079
- Organisation at this address
- Wellberry Pllc
Owen Dental, Pc
Kevin Mudrow Dds Pllc
Wight Chiropractic, Pa
Scott M. Blake, Dds, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Oral and Maxillofacial Pathology Dentistry
1223P0106X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho