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

Blake David McDonald

Individual provider Pediatric Dentistry · NPI 1013479492

Blake David McDonald is a Pediatric Dentistry in Riverton, Utah. Practices as a sole proprietor and works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2019

Practice location Address checks out

4651 W 13400 S Ste 110
Riverton, UT 84096-6483
Phone: (801) 515-5858
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 59 W Pages Ln Ste 110, Bountiful, UT 84010 — (801) 294-8880

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 11622565-9921 (UT)

Record details

NPI number1013479492
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 3, 2019
Last updated in NPPESFebruary 8, 2024
Certification dateFebruary 8, 2024
Mailing address11039 S Ryan Park Ave, Sandy, UT 84092-5205

Other providers in Riverton