Clinton L Blake DDS PC

General Practice Dentistry · Newcastle, OK

Organization Active NPI

NPI number 1780966036

Practice location

2820 NW 32ND St
Newcastle, OK 73065-6576
Phone
(405) 392-4883
Fax
(405) 392-4889

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NPI record

NPI
1780966036
Entity type
Organization (Type 2)
Enumeration date
September 13, 2011
Last updated
September 13, 2011
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 6330 OK

Authorized official

Name
Clinton Blake, DDS PC
Title
Dentist/Owner
Phone
(405) 392-4883

About Clinton L Blake DDS PC

Clinton L Blake DDS PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2820 NW 32ND St, Newcastle, OK 73065-6576. The NPI number 1780966036 was assigned on September 13, 2011 and the record was last updated on September 13, 2011.

Clinton L Blake DDS PC lists a license in the registry: #6330 (OK) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Clinton Blake, DDS PC, Dentist/Owner.

Frequently asked questions

What is the NPI number of Clinton L Blake DDS PC?

The NPI number is 1780966036.

What is the phone number of Clinton L Blake DDS PC?

The phone number listed for the practice location is (405) 392-4883.

Where is Clinton L Blake DDS PC located?

2820 NW 32ND St, Newcastle, OK 73065-6576.

What is the taxonomy code for Clinton L Blake DDS PC?

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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