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

Nicole Ann Blake, RDH/DT

Individual provider Dental Therapist · NPI 1518849603

Nicole Ann Blake, RDH/DT is a Dental Therapist in North Mankato, Minnesota. Licensed in Minnesota. Registered with an NPI since 2025.

Licensed in
MN
In the registry since
2025

Practice location Address checks out

1400 Lookout Dr
North Mankato, MN 56003-2500
Phone: (507) 480-4646
Show map & directions

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

Specialties & licences

Dental Therapist (primary) Taxonomy 125J00000X · Licence DT-186 (MN)

Record details

NPI number1518849603
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDH/DT
Sole proprietorNo
NPI enumeratedJuly 22, 2025
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025