Alan Max Blake

General Practice Dentistry · Estherville, IA

Individual Active NPI

NPI number 1831243013

Practice location

808 N 9TH St
Estherville, IA 51334-1534
Phone
(712) 362-5454
Fax
(712) 362-4737

Open in Google Maps

NPI record

NPI
1831243013
Entity type
Individual (Type 1)
Enumeration date
January 23, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 06008 IA

About Alan Blake

Alan Max Blake is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 808 N 9TH St, Estherville, IA 51334-1534. The NPI number 1831243013 was assigned on January 23, 2007 and the record was last updated on July 8, 2007.

Alan Blake lists a license in the registry: #06008 (IA) 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 Alan Max Blake?

The NPI number is 1831243013.

What is the phone number of Alan Blake?

The phone number listed for the practice location is (712) 362-5454.

Where is Alan Blake located?

808 N 9TH St, Estherville, IA 51334-1534.

What is the taxonomy code for Alan Blake?

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.

Other General Practice Dentistry providers in Estherville

All General Practice Dentistry providers in Estherville, IA →