Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SCOTT M BLAKE, DDS
ActiveSCOTT M BLAKE, DDS is a Orthodontics & Dentofacial Orthopedics healthcare provider located in IDAHO FALLS, Idaho. NPI 1376684175 is currently active in the NPPES registry. Verify at CMS.
Orthodontics & Dentofacial Orthopedics · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1376684175
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 12, 2007 (19.470292811056 yrs)
- Last Updated
- Oct 15, 2015
- License
-
D3728 (ID)
Practice Information
- Address
-
333 S WOODRUFF AVEIDAHO FALLS, ID, 834014322Browse ID providers · Browse ZIP 83401
- Phone
- 2085232160
- Fax
- 2085528079
- Primary Specialty
-
Orthodontics & Dentofacial Orthopedics
1223P0106X
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.