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

Blake Imam, DMD

Individual provider Dentist · NPI 1285040394

Blake Imam, DMD is a Dentist in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2014.

Licensed in
ID
In the registry since
2014
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

317 W Cherry Ln
Meridian, ID 83642-1608
Phone: (208) 888-2055
Fax: (208) 395-1017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D-4604 (ID)

Record details

NPI number1285040394
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 9, 2014
Last updated in NPPESJuly 9, 2014
Mailing address317 W Cherry Ln, Meridian, ID 83642-1608

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