Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BLAKE LATENDRESSE, DDS
Active Sole ProprietorDR. BLAKE LATENDRESSE, DDS is a General Dentistry healthcare provider located in BELLEVUE, Nebraska. NPI 1285369157 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · BELLEVUE, NE
Registration Details
- NPI Number
- 1285369157
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 23, 2022 (4.0566244234256 yrs)
- Last Updated
- Jul 23, 2022
- License
-
7846 (NE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1004 LINCOLN RD STE 100BELLEVUE, NE, 680052341Browse NE providers · Browse ZIP 68005
- Phone
- 4022931176
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in BELLEVUE, NE
| Name | Credential | NPI |
|---|---|---|
| DR. EUGENE MICHAEL GASPARD | DDS | 1215928445 |
| MRS. AMBER MARIE ALLEN | DDS | 1508830001 |
| DR. THOMAS EDWARD RUDERSDORF | DDS | 1285676452 |
| DR. LARRY A CAMERON | DDS | 1861408916 |
| DR. GEORGE WARREN OTTO | DDS | 1386750495 |
| DR. DAVID RAY MACK | — | 1205944923 |
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.