Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BLAKE N BROG, D.M.D.
Active Sole ProprietorDR. BLAKE N BROG, D.M.D. is a Orthodontics healthcare provider located in BOUNTIFUL, Utah. NPI 1871624403 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · BOUNTIFUL, UT
Registration Details
- NPI Number
- 1871624403
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 7, 2007 (19.393946156193 yrs)
- Last Updated
- Jul 8, 2007
- License
-
142188-9921 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
469 MEDICAL DRBOUNTIFUL, UT, 840104900Browse UT providers · Browse ZIP 84010
- Phone
- 8012921888
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in BOUNTIFUL, UT
| Name | Credential | NPI |
|---|---|---|
| MRS. WENDY CHU TANDAR | DMD | 1265537823 |
| DR. JOSEPH FELLER | DMD, MS | 1053471896 |
| DR. CANDLAND LEE OLSEN | DDS | 1831396340 |
| RICHARD D. LUDDINGTON | DMD | 1376740662 |
| ANDREW WELLING | DDS | 1760046635 |
| DR. RUSSELL GARRETT CORTEZ II | — | 1487535639 |
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.