Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BLAKE DENTON BOLEWARE, DMD, MS
ActiveDR. BLAKE DENTON BOLEWARE, DMD, MS is a Orthodontics healthcare provider located in RIDGELAND, Mississippi. NPI 1881200673 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · RIDGELAND, MS
Registration Details
- NPI Number
- 1881200673
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 17, 2020 (5.8669925514041 yrs)
- Last Updated
- Aug 14, 2023
- License
-
OR-575-20 (MS)
Practice Information
- Address
-
525 THOMASTOWN LN STE ARIDGELAND, MS, 391573440Browse MS providers · Browse ZIP 39157
- Phone
- 6018563054
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in RIDGELAND, MS
| Name | Credential | NPI |
|---|---|---|
| DR. KARL L. BIERDEMAN | DMD | 1346552767 |
| DR. PRISCILLA ALMOND JOLLY | D.M.D. | 1467760181 |
| DR. JASON WILLIAM VASSAR | D.M.D. | 1740577071 |
| DR. CHAD MICHAEL HARTLEY | DMD | 1396518726 |
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.