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

Dr. Blake N Brog, DMD

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1871624403

Dr. Blake N Brog, DMD is an Orthodontics and Dentofacial Orthopedics Dentistry in Bountiful, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

469 Medical Dr
Bountiful, UT 84010-4900
Phone: (801) 292-1888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 142188-9921 (UT)

Record details

NPI number1871624403
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMarch 7, 2007
Last updated in NPPESJuly 8, 2007
Mailing address469 Medical Dr, Bountiful, UT 84010-4900

Other providers in Bountiful