Search › Louisiana › 1223G0001X
Blake Vidrine, DDS
NPI 1841866969 · on the registry since 2021
Practice
- Address
- 10330 Airline Hwy Ste A6
Baton Rouge, LA 70816 - Phone
- (225) 308-8000
- Fax
- (225) 308-8000
- Organisation at this address
- Louisiana Implants And Dentures
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
- Licence states on file
- AL, LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-05-04
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 Louisiana