Blake Dentistry, PC
Blake Dentistry, PC is a General Practice Dentistry in Coudersport, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.
- Licensed in
- PA
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
507 Dwight StCoudersport, PA 16915-1792
Phone: (814) 274-7262
Fax: (814) 274-0879
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DS-035521 (PA) |
|---|
Record details
| NPI number | 1962567644 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shane Blake — President · (814) 274-7262 |
| NPI enumerated | December 24, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 507 Dwight St, Coudersport, PA 16915-1792 |
Other providers in Coudersport
-
Dr. Larissa Ann Delo, DDS
6 Niles Hill Rd, Coudersport, PA 16915-1211 · (814) 274-1111
-
Tod Evans Twichell, DDS
1001 E 2nd St, Coudersport, PA 16915-8161 · (814) 274-5252