Blake Herbison DDS PLLC

Dentist · Bothell, WA

Organization Active NPI

NPI number 1013191006

Practice location

18520 101st Ave NE
Bothell, WA 98011-3804
Phone
(425) 486-2727

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NPI record

NPI
1013191006
Entity type
Organization (Type 2)
Enumeration date
December 26, 2007
Last updated
August 8, 2013
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DE00011059 WA

Mailing address

22826 36TH Ave SE
Bothell, WA 98021-6203

Authorized official

Name
Dr. Blake Herbison, D.D.S.
Title
Member
Phone
(425) 486-2727

About Blake Herbison DDS PLLC

Blake Herbison DDS PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 18520 101st Ave NE, Bothell, WA 98011-3804. The NPI number 1013191006 was assigned on December 26, 2007 and the record was last updated on August 8, 2013.

Blake Herbison DDS PLLC lists a license in the registry: #DE00011059 (WA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Blake Herbison, D.D.S., Member.

Frequently asked questions

What is the NPI number of Blake Herbison DDS PLLC?

The NPI number is 1013191006.

What is the phone number of Blake Herbison DDS PLLC?

The phone number listed for the practice location is (425) 486-2727.

Where is Blake Herbison DDS PLLC located?

18520 101st Ave NE, Bothell, WA 98011-3804.

What is the taxonomy code for Blake Herbison DDS PLLC?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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