Dr. Shane Christopher Blake, DMD
Dr. Shane Christopher Blake, DMD is a Dentist in Coudersport, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.
- Licensed in
- PA
- In the registry since
- 2012
What do these letters mean?
- DMD — Doctor of Dental Medicine
- A dentist. Identical training and licensing to a DDS.
Practice location Address checks out
507 Dwight StCoudersport, PA 16915-1792
Phone: (814) 274-7262
Fax: (800) 888-4760
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence DS035521 (PA) |
|---|
Record details
| NPI number | 1023360609 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DMD |
| Sole proprietor | Yes |
| NPI enumerated | October 8, 2012 |
| Last updated in NPPES | October 8, 2012 |
| Mailing address | 507 Dwight St, Coudersport, PA 16915-1792 |
Other providers in Coudersport
-
Victor Douglas Brown, DMD
6 Niles Hill Rd, Coudersport, PA 16915 · (814) 274-1111
-
Charles Cole Memorial Hospital D/B/A UPMC Cole
1001 E 2nd St, Coudersport, PA 16915-8161 · (814) 274-5252
-
Dr Victor D. Brown, DMD, LLC
6 Niles Hill Rd, Coudersport, PA 16915-1211 · (814) 274-1111
-
Dr. Nina Lelic Miller, DMD
1001 E 2nd St, Coudersport, PA 16915-8161 · (814) 274-9300