Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. HEATH J. BLAKE, D.D.S
Active Sole ProprietorDental Public Health · PLEASANT GROVE, UT
Registration Details
- NPI Number
- 1841318516
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2007 (19.070402701178 yrs)
- Last Updated
- Jul 8, 2007
- License
-
5959068 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
198 S MAIN STPLEASANT GROVE, UT, 840622631Browse UT providers · Browse ZIP 84062
- Phone
- 8017858308
- Primary Specialty
-
Dental Public Health
1223D0001X
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.