Scott M. Blake, DDS, PC
Scott M. Blake, DDS, PC is an Oral and Maxillofacial Surgery (Dentist) in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2008.
- Licensed in
- ID
- In the registry since
- 2008
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
333 S Woodruff AveIdaho Falls, ID 83401-4322
Phone: (208) 523-2160
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence D3728 (ID) |
|---|
Record details
| NPI number | 1972779916 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Elaine Schmidt — Receptionist · (208) 523-2160 |
| NPI enumerated | April 30, 2008 |
| Last updated in NPPES | April 30, 2008 |
| Mailing address | 333 S Woodruff Ave, Idaho Falls, ID 83401-4322 |
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