Blake Daniel Entralgo, D.M.D

Dentist · Marlton, NJ

Individual Active NPI

NPI number 1194002196

Practice location

560a Lippincott Drive
Bldg B
Marlton, NJ 08053
Phone
(856) 985-1800
Fax
(856) 985-7170

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NPI record

NPI
1194002196
Entity type
Individual (Type 1)
Enumeration date
November 4, 2011
Last updated
May 3, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 22DI02666400 NJ

Other practice locations (1)

  • 2D DENBN/NDC 315 McHugh Blvd, Commanding Officer, Camp Lejeune, NC 28542-0130 · (910) 451-2208 ext. 203

About Dr. Entralgo

Blake Daniel Entralgo, D.M.D is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 560a Lippincott Drive, Bldg B, Marlton, NJ 08053. The NPI number 1194002196 was assigned on November 4, 2011 and the record was last updated on May 3, 2018.

Dr. Entralgo lists a license in the registry: #22DI02666400 (NJ) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Blake Daniel Entralgo, D.M.D?

The NPI number is 1194002196.

What is the phone number of Dr. Entralgo?

The phone number listed for the practice location is (856) 985-1800.

Where is Dr. Entralgo located?

560a Lippincott Drive, Bldg B, Marlton, NJ 08053.

What is the taxonomy code for Dr. Entralgo?

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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