DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BLAKE FERANDO, DMD

Active Sole Proprietor

DR. BLAKE FERANDO, DMD is a Dentist healthcare provider located in O FALLON, Missouri. NPI 1306295308 is currently active in the NPPES registry. Verify at CMS.

Dentist · O FALLON, MO

Registration Details

NPI Number
1306295308
Provider Type
Individual
Gender
Male
NPI Issued
Jun 9, 2016 (10.176406696303 yrs)
Last Updated
Dec 10, 2018
License
019.030670 (IL)
Sole Proprietor
Yes

Practice Information

Address
346 FORT ZUMWALT SQ
O FALLON, MO, 633663065
Browse MO providers · Browse ZIP 63366
Phone
6369786400
Primary Specialty
Dentist
122300000X

Other Dentist Providers in O FALLON, MO

Name Credential NPI
DR. JAMES THOMAS FETSCH DMD, PC 1316960768
DR. SHERRI LIN POETTKER DMD 1306933171
DR. ERIC J HURTTE DMD 1942359229
DR. ANTHONY LINDAHL DMD 1417098765
EDWARD M. LOGAN DDS 1669670980
SONU MUTHUVALLIAPPAN DMD 1730345455
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.