Blake Herbison

General Practice Dentistry · Bothell, WA

Individual Active NPI

NPI number 1689996340

Practice location

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

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NPI record

NPI
1689996340
Entity type
Individual (Type 1)
Enumeration date
February 23, 2010
Last updated
February 23, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DE00011059 WA

About Blake Herbison

Blake Herbison is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 18520 101st Ave NE, Bothell, WA 98011-3804. The NPI number 1689996340 was assigned on February 23, 2010 and the record was last updated on February 23, 2010.

Blake Herbison lists a license in the registry: #DE00011059 (WA) 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 Herbison?

The NPI number is 1689996340.

What is the phone number of Blake Herbison?

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

Where is Blake Herbison located?

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

What is the taxonomy code for Blake Herbison?

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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