person
Blake David Mcdonald
Pediatric Dentist in Riverton, Utah
NPI 1013479492

Blake David Mcdonald is a Pediatric Dentist based in Sandy, UT and is specialized in Pediatric Dentistry. Blake David Mcdonald practices in Riverton, UT. The NPI Number for Blake David Mcdonald is 1013479492 and holds a License No. 11622565-9921 (Utah).

The current practice location address for Blake David Mcdonald is 4651 W 13400 S Ste 110, Riverton, UT and can be reached out via phone at 801-515-5858.

Location: 4651 W 13400 S Ste 110, Riverton, UT, 84092-5205
person
Provider Profile Details
NPI Number
1013479492
Provider Name
Blake David Mcdonald
Credential
Provider Entity Type
Individual
Gender
Male
Address
4651 W 13400 S Ste 110, Riverton, UT, 84092-5205
Phone Number
801-515-5858
Fax Number
Provider Enumeration Date
04/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4651 W 13400 S Ste 110
City
State
Zip
84096-6483
Phone Number
801-515-5858
Fax Number
person
Provider Business Mailing Address Details
Address
4651 W 13400 S Ste 110
City
State
Zip
84096-6483
Phone Number
801-515-5858
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
11622565-9921 (Utah)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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