Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake Herbison DDS PLLC

Organization Dentist · NPI 1013191006

Blake Herbison DDS PLLC is a Dentist in Bothell, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18520 101st Ave NE
Bothell, WA 98011-3804
Phone: (425) 486-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DE00011059 (WA)

Record details

NPI number1013191006
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Blake Herbison — Member · (425) 486-2727
NPI enumeratedDecember 26, 2007
Last updated in NPPESAugust 8, 2013
Mailing address22826 36th Ave Se, Bothell, WA 98021-6203

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