Blake Latendresse, DDS

General Practice Dentistry · Bellevue, NE

Individual Active NPI

NPI number 1285369157

Practice location

1004 Lincoln Rd Ste 100
Bellevue, NE 68005-2341
Phone
(402) 293-1176

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NPI record

NPI
1285369157
Entity type
Individual (Type 1)
Enumeration date
July 23, 2022
Last updated
July 23, 2022
Certified
March 13, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 7846 NE

Mailing address

6462 Poppleton Ave
Omaha, NE 68106-1542

About Dr. Latendresse

Blake Latendresse, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1004 Lincoln Rd Ste 100, Bellevue, NE 68005-2341. The NPI number 1285369157 was assigned on July 23, 2022 and the record was last updated on July 23, 2022.

Dr. Latendresse lists a license in the registry: #7846 (NE) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Blake Latendresse, DDS?

The NPI number is 1285369157.

What is the phone number of Dr. Latendresse?

The phone number listed for the practice location is (402) 293-1176.

Where is Dr. Latendresse located?

1004 Lincoln Rd Ste 100, Bellevue, NE 68005-2341.

What is the taxonomy code for Dr. Latendresse?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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