Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE DAVID MCDONALD
Active Sole ProprietorBLAKE DAVID MCDONALD is a Pediatric Dentistry healthcare provider located in RIVERTON, Utah. NPI 1013479492 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · RIVERTON, UT
Registration Details
- NPI Number
- 1013479492
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2019 (7.3731738155954 yrs)
- Last Updated
- Feb 8, 2024
- License
-
11622565-9921 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4651 W 13400 S STE 110RIVERTON, UT, 840966483Browse UT providers · Browse ZIP 84096
- Phone
- 8015155858
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in RIVERTON, UT
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID JAY JOHNSON | DMD | 1831165224 |
| DR. NATHAN DANIEL STEVENSON | D.D.S. | 1942376231 |
| DR. MATTHEW VAUGHN JACOBSEN | DDS | 1952659708 |
| DR. BARTON SLOAN | D.M.D. | 1487070082 |
| DANIEL CHRISTOPHER FORD | — | 1992455208 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.